LEVELS ACCESS
Health System Partnership Portal
Authorized for @levels.com and @precisionlongevity.io accounts
Confidential — Levels Health × PL Access, P.A.
LEVELS
Overview

Levels ACCESS

CMS ACCESS Model — eCKM Track — Launching July 2026

For the first time, Medicare pays for preventing cardiometabolic disease — not just treating it. The eCKM track enables technology-driven management of hypertension, prediabetes, dyslipidemia, and obesity before they progress to diabetes, CKD, or ASCVD.

Hypertension Prediabetes Dyslipidemia Obesity
Levels Health × PL Access, P.A.  |  Zero cost & zero risk to your health system
Levels Health App Levels Health Platform
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01 — The Problem

The Unmanaged Majority

Fewer than 5% of eligible Medicare FFS beneficiaries receive CCM or RPM services. The other 95%+ with cardiometabolic conditions — hypertension, prediabetes, dyslipidemia, obesity — have no structured technology-enabled management. These patients drive your readmissions, quality gaps, and excess total cost of care.

Example: Large Health System

90,000
Medicare FFS
→
~54,000
With conditions
→
~48,600
Currently unmanaged
>95%
unmanaged

Fewer than 5% of eligible Medicare FFS beneficiaries receive CCM or RPM services (ASPE/HHS)

02 — The Solution

Technology-Enabled Cardiometabolic Care
Already Proven at Scale

Levels is a metabolic health platform with 100,000+ members served, now adapted for CMS ACCESS to manage Medicare beneficiaries with early cardiometabolic conditions.

Glucose Monitoring

Optional 1-month CGM (Dexcom Stelo), real-time metabolic feedback

Blood Pressure

FDA-cleared home cuff, quarterly trend analysis

Weight Tracking

Smart AI-enabled insights and coaching based on food input

Lab Coordination

LDL-C, HbA1c, lipid panels coordinated through the Levels ACCESS program

Digital Platform

AI coaching, personalized programs, nutrition logging

Physician Oversight

Continuous clinical direction from MD/PhD physicians

Medication Reminders

Automated medication adherence reminders through the app platform

Medication Prescribing (Upcoming)

E-prescribing capability for cardiometabolic medications as clinically indicated

Physician Dashboard
Levels Pro Physician Dashboard
Patient App
Levels Health iPhone App
Baseline (M 1-2)
Active Intervention — Daily App Engagement (M 2-9)
Assessment (M 9-12)
03 — Clinical Evidence

Real Members. Real Outcomes.

0
Members Served
0
In IRB-Approved Research
0
Glucose Data Points

HbA1c

81% improved

81% of members with elevated HbA1c showed improvement; many reversed prediabetes without medication

LDL & ApoB

>60% lowered ApoB

Heart Health program: majority of adherent participants reduced ApoB in 4 weeks; individual reductions of 25-34%

Weight

~70% lost weight

Members with BMI ≥25 using CGM + Levels platform; 2-6 lbs avg in 90-day study

Heart Health Program
Levels internal cohort analysis
No medication
LDL Cholesterol p = 0.002
Before
~130 mg/dL
After
~115 mg/dL
↓
Mean reduction of −15.3 mg/dL
Apolipoprotein B (ApoB) p = 0.0003
Before
~105 mg/dL
After
~94 mg/dL
↓
Mean reduction of −11.1 mg/dL
Lifestyle-only intervention • Levels Heart Health Program
These outcomes are from our consumer lifestyle program — achieved without medication. Applied to our Medicare population with prescribing capabilities, we will set the standard for tech-enabled care.
04 — How It Works

New CMS Billing Codes.
Additive to Your Value-Based Care Programs.

CMS Creates New Technology-Based G-Codes
New G-Codes
Co-Mgmt Code

Levels / PL Access

Outcome-aligned care delivery via new ACCESS G-codes

Your Physicians

New co-management G-code — CMS pays your physicians directly

Your physicians: Review our structured Care Update (5 min), document in EHR, bill the new co-management code directly to CMS.

What You Get
  • Targets the 95% of patients you're not reaching — the ones with unmanaged hypertension, prediabetes, dyslipidemia, and obesity
  • Directly improves your MSSP quality scores — ACCESS moves CMS 165 (BP) and CMS 122 (HbA1c), two of four core measures that drive your shared savings percentage
  • We provide all connected devices — cellular BP cuffs, CGM — given to patients at no cost to them or your organization
Built for Your Clinical Workflow
  • FHIR R4 compatible — integrates into your EMR — mandated by 21st Century Cures Act; works with Epic, Oracle Health, athenahealth
  • Clinical dashboard for your care team — real-time patient progress, CGM data, BP trends, and lab results in one view
  • Structured Care Updates in the chart — physicians see baseline, progress, treatment plan as a document in their EHR workflow
14 commercial payers — including UnitedHealthcare, Cigna, Humana, CVS Health — have pledged ACCESS-aligned models by January 2028 covering 165M Americans
05 — Financial Impact

Model Your Health System's Value

Medicare FFS Beneficiaries
50,000 FFS
5,000 Eligible for referral: ~27,000 100,000
New Physician Revenue
$2.7M
Co-management G-code — CMS pays your physicians directly
ACO Shared Savings Impact
$2.7M-$6.8M
Quality score improvement + reduced total cost of care
Total Annual Value
$5.4M-$9.5M
per year

Your investment: 5 min × 3×/yr per patient. Zero capital. Zero FTEs.

Physician revenue: CMS ACCESS co-management G-code (~$100/pt/yr). ACO impact: quality improvement (CMS 165 BP, CMS 122 HbA1c) + TCOC reduction ($200-$400/pt, CDC 2024 & AHA Margolis 2020) flowing through MSSP shared savings (42 CFR 425.605). ACO impact applies to MSSP/ACO REACH participants; Physician revenue applies to all health systems. Assumes full referral of eligible population.

06 — Clinical Leadership

Physician-Led. Harvard-Trained. Research-Driven.

PL Access, P.A. is a physician-owned Professional Association enrolling as a Medicare Part B entity.

Dr. Paul Ginart
Dr. Paul Ginart
MD/PhD
  • MD/PhD in Bioengineering, University of Pennsylvania (Perelman)
  • Emergency Medicine residency, MGH / BWH / Harvard Medical School
  • Attending Physician, Mass General Brigham
  • Grant-awarded Principal Investigator in clinical informatics and digital health
Dr. Michael Loesche
Dr. Michael Loesche
MD/PhD
  • MD/PhD in Computational Biology, University of Pennsylvania (Perelman)
  • Emergency Medicine residency, BWH / MGH / Harvard Medical School
  • Former Medical Director, SpaceX Starbase
  • 28 peer-reviewed publications
Technology Partner

Levels Health, Inc. — 100,000+ members, $67-80M raised, full engineering and operations team. Provides all technology and operational services under MSO arrangement.

07 — Next Steps

Partner With Us

How It Works

  • Referral pathway for eligible patients — identify unmanaged hypertension, prediabetes, dyslipidemia, and obesity in your Medicare FFS population
  • Structured care updates at regular intervals with a custom physician dashboard
  • FHIR-based integration with your EMR — patient data flows into existing clinical workflows
  • Zero capital investment from your health system — CMS funds all care delivery and physician co-management
  • Clinical dashboard provides your care team real-time visibility into patient progress
ACCESS Model Launch
July 5, 2026
Josh Clemente — Founder & CEO, Levels Health — josh@levels.com
Amanda Shrewsbury — Clinical Program Ops — amanda@levels.com
Dr. Paul Ginart — President, PL Access, P.A. — paul@levels.com
Dr. Michael Loesche — Medical Director, PL Access, P.A. — michael@levels.com

Get in Touch

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