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Accountable Care Organizations (ACOs) have long been used as the foundation for newer, more complex models, the most recent of which is known as Realizing Equity, Access, and Community Health (REACH). The Centers for Medicare & Medicaid Services (CMS) unveiled the new ACO REACH model on February 24, 2022, with the goal of improving and elevating healthcare systems.
The ACO REACH model is intended to replace the Global and Professional Direct Contracting Model (GPDC) model, which will be phased out by December 31, 2022. New healthcare models will be evaluated at CMS's innovation center in order to improve the quality of care for patients, particularly those living in underserved communities.
Patients will be better supported and coordinated through the new ACO REACH mode. If all participants establish and implement effective health equity plans, underserved populations will be identified and measured to eliminate health inequalities in the target population.
Improved Attention to Those Who Benefit from the Program
Provider and beneficiary benefits are outlined in detail in ACO REACH. The new approach is intended to deliver extended Medicare benefits to disadvantaged communities, giving them a more active involvement in their treatment and possibly enhanced benefits like telemedicine consultations, post-clinical home visits, and decreased cost sharing.
ACO REACH's new rules will promote Medicare participants' health equity. With the finest practices gathered from prior health care models, ACO REACH is poised to create new and distinct healthcare footprints without upsetting present working ways as a new healthcare model.
Expanded Responsibilities and Privileges for Providers
There will be more strict admission standards, performance monitoring, and transparency requirements for the new ACO REACH initiatives that will be open to current GPDC members. Participants in ACO REACH who are selected will have increased responsibilities, with providers owning at least 75% of the program.
ACO REACH will impose downside risks for providers with 50% or 100% capitation. ACO REACH aims to give healthcare practitioners greater tools and resources to enhance care coordination and patient care quality.
Direct Contracting Entities (DCEs) are currently GPDC members who can apply for ACO REACH once the GPDC model is officially removed. More and more DCEs and ACOs have come out in favor of this initiative, believing that it will empower a large number of doctors while also encouraging a wider range of people to get involved in their own health and wellness. Applications for participation in ACO REACH are anticipated to open on March 7, 2022, and close on April 22, 2022.
Many firms are keen to engage in new and improved healthcare models since the introduction of ACO REACH. The new ACO REACH direct contracting model, like its predecessor, the GPDC direct contracting model, is expected to go into new territory, with some probable drawbacks. When it comes to navigating the ever-changing healthcare ecosystem, ACO REACH must use all available information and tools.
MedVision has worked relentlessly for almost three decades to support healthcare programs by delivering value-based integrated healthcare administration solutions that minimize operational workflow requirements. Transform administrative healthcare processes from start to finish into easy, straightforward operations with ACO-REACH OS. With ACO-REACH OS, you can utilize different modules and interoperability features designed specifically for your business needs. MedVision is delighted to help several effective ACOs that use ACO-REACH OS to improve the quality of healthcare in their local communities.
ACO-REACH OS can assist with ACO REACH requirements while delivering exceptional value.
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