Nerva's Gut-Brain Therapy Now Free for Eligible Medicare Patients in the US
In a significant move for healthcare accessibility, Nerva, a program designed to aid individuals suffering from Irritable Bowel Syndrome (IBS) and other gut-brain disorders, is now available without any out-of-pocket expenses for eligible patients enrolled in Original Medicare. This initiative was launched through the CMS ACCESS Model on July 5, 2026, aiming to improve care for chronic conditions with the aid of technology.
The ACCESS Model stands for Advancing Chronic Care with Effective, Scalable Solutions and represents a progressive Medicare payment approach initiated by the Centers for Medicare & Medicaid Services (CMS) Innovation Center. Unlike traditional Medicare systems that reimburse based on individual services or visits, the ACCESS Model compensates programs based on their efficacy in enhancing patient outcomes. This is a substantial departure from the previous models, focusing on patient health rather than the number of services rendered.
Mindset Health, the company behind Nerva, entered this innovative framework to offer their behavioral health program as part of their participation in the ACCESS tracks, which are pertinent to patients dealing with IBS and similar gut-brain issues. Notably, eligibility for this program hinges on certain qualifying conditions rather than exclusively being tied to a diagnosis of IBS.
For U.S. patients aged 65 and above who don't qualify under the ACCESS Model, there may still be alternative options available to access Nerva's services at no cost, subject to confirmation during the sign-up process. Furthermore, Mindset Health is currently engaged in extensive research regarding Nerva's application among older adults. This study has been accepted for presentation at the prestigious Australian Gastroenterology Week (AGW 2026), emphasizing the program's commitment to scientific validation and continuous improvement.
According to Alex Naoumidis, Co-Founder and Co-CEO of Nerva, "Millions of Medicare recipients are afflicted by gut-brain disorders, yet until now, they have rarely had any relevant treatment offerings that directly address the relationship between mental and gut health. With the ACCESS Model's implementation, we are finally bridging this care gap that has persisted due to outdated reimbursement structures rather than a lack of evidence for treatment."
Patients can easily verify their eligibility for the program through a straightforward assessment at sign-up, which can be accessed on Nerva’s website at start.nervahealth.com/eligibility.
Nerva provides a comprehensive gut-brain therapy program that equips individuals to manage conditions like IBS effectively. The program incorporates various therapeutic techniques, such as Cognitive Behavioral Therapy (CBT), coaching, gut-focused hypnotherapy, and specific breathing exercises, all backed by a robust foundation of clinical evidence. These brain-gut treatments are widely recognized by leading gastroenterological organizations, making Nerva a credible and impactful modifier for those struggling with these disorders.
The efficacy of Nerva is further substantiated by a peer-reviewed study published in the American Journal of Gastroenterology in 2025, which found that a remarkable 81% of participants experienced substantial improvements in managing their symptoms after engaging with the program. This trial demonstrated Nerva's ability not only to address immediate symptoms but to promote long-term health and well-being.
While Nerva is a self-managed program designed to assist individuals in alleviating symptoms from diagnosed gut-brain interactions, it is important to note that it has not undergone evaluation by the FDA and should not replace professional medical treatment. Eligible patients aged 65 and over can get access to Nerva at no cost via the CMS ACCESS Model, private insurer coverage, or through Mindset Health-sponsored programs, with eligibility and the appropriate route confirmed during the registration process.
Overall, the partnership between Mindset Health and the CMS ACCESS Model marks a significant milestone in the integration of modern, technology-enabled healthcare solutions with Medicare, aiming to better serve the needs of older adults with chronic digestive disorders.