Who should consider applying for the ACO REACH model?
Are you ready to navigate the evolving landscape of healthcare? The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, designed by the Centers for Medicare & Medicaid Services (CMS), is transforming the future of healthcare.
Download our informative report, Who should consider applying for the ACO REACH?, to explore the opportunities, changes and timelines surrounding the ACO REACH Model.
Key topics covered include
- Opportunities for new applicants: CMS is rebranding the Global and Professional Direct Contracting (GPDC) Model into ACO REACH, opening new doors for organizations to participate.
- Key changes ahead: Get ahead of the game by understanding the critical changes set to take effect in the ACO REACH Model starting in January 2023.
- Program goals and health equity incentives: Dive into the Administration's innovative program goals and how they incentivize health equity, support provider governance, and protect beneficiaries.
- Who should apply: Learn who should consider applying for the ACO REACH Model and gain insights into evaluating your likelihood of success.
- Timelines: Stay informed about the application timelines, whether you're a new applicant or an existing GPDC participant seeking to continue your journey in the ACO REACH Model.
Our report traces the journey from the inception of the Direct Contracting program in 2020, its evolution into the GPDC Model, and its impending transformation into the ACO REACH Model. Gain a comprehensive understanding of the program's goals, structure, and incentives, including a renewed focus on health equity.
New model highlights
The ACO REACH Model introduces significant changes, including:
- Health equity initiatives: ACOs will be required to develop an annual Health Equity Plan, addressing unique health disparities and gaps in care within their aligned beneficiary populations.
- Financial incentives: New incentives, including health equity reporting bonuses and Health Equity Benchmark Adjustments, will encourage ACOs to advance health equity and data documentation.
- Benefit enhancement: A waiver empowering Nurse Practitioners to perform specific services will enhance care delivery and coordination within ACO REACH networks.
- Additional stop-loss options: ACO REACH participants will benefit from residual-based reinsurance to mitigate excessive exposure from high-cost beneficiaries.
Your path to success
As you consider joining the ACO REACH Model, we encourage you to assess your unique position, payment mechanisms, and level of financial risk. Our document provides valuable guidance on conducting a preliminary financial analysis to help you navigate the complex world of PY Benchmark Rates and achieve successful outcomes.
Join the evolution of healthcare
The ACO REACH Model is more than a program; it's an opportunity to redefine healthcare, enhance access, and promote equity. Don't miss your chance to be part of this transformative journey. Download our document, Who should consider applying for the ACO REACH?, now and take the first step towards a brighter future in healthcare.
The information provided here is for general guidance only, and does not constitute the provision of tax advice, accounting services, investment advice, legal advice, or professional consulting of any kind. The information provided herein should not be used as a substitute for consultation with professional tax, accounting, legal or other competent advisers.
