CMS’ New ACO REACH Model Makes Healthcare Accessible

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.


ACO REACH


ACO REACH Offers Accessibility, Innovation, and a Wider Scope

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.


What May Current Members of the GPDC Expect?

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.



ACO REACH


A Quick Guide to a Successful ACO REACH Application Preparation

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.

What Are We Waiting For?
Medicare Advantage and ACO REACH models are key pieces of the healthcare puzzle.
By Ma. Yvette Quiwa December 9, 2024
Medicare Advantage and ACO REACH drive better care and cost efficiency for patients. Discover their impact on the healthcare system today.
A doctor easily accessing a patient’s data across various healthcare administration programs
By Jadys Diez November 15, 2024
Stay ahead in healthcare with MedVision's QuickCap. Learn how migrating from legacy systems boosts innovation, patient outcomes, and better care.
Doctors examining a patient, showcasing the convenience and quality of healthcare of ACO REACH
By Ma. Yvette Quiwa November 12, 2024
Drive ACO REACH success with effective data management, using advanced analytics, reporting tools, and real-time data sharing for better decisions and outcomes.

Recently published articles

A doctor on his tablet utilizing predictive analytics models to improve patient outcomes.
By Jadys Diez January 3, 2025
Understanding predictive analytics in healthcare: its advantages, potential drawbacks, and how to use it effectively in practice.
A TPA uses population health management software to generate forecasts
By Jan Dalisay December 23, 2024
Check out our TPA guide to learn how intuitive population health solutions analyze employee health data and efficiently reduce care costs.

Keep in touch

Subscribe to get the latest update


Trending topics

ACO PC Flex Model
April 26, 2024
Learn about the new ACO Model coming this 2025 and how MedVision is ready in helping organizations achieve this initiative.
a provider receives a patient during a health visit
February 16, 2024
Find out how accurate patient attribution rates are driving better patient care coordination. Get tips on how to improve patient alignment. Read on to learn.

Share your insights on social media

Upcoming events and company news

Hand holding a colorful hot air balloon symbolizing the SIIA National Conference 2024
August 29, 2024
SIIA National Conference 2024 is where leaders shape the future of the self-insurance landscape. Join MedVision as we exhibit innovative solutions for TPAs.
VIP Discussion to Upgrade PACE Programs
By Jadys Merill Diez June 6, 2024
Explore the future of PACE Programs at our Healthcare Roundtable. Network with leaders and discover groundbreaking technologies.
NPA Summer Conference
By Jadys Merill Diez June 4, 2024
Join PACE leaders at the NPA Summer Conference in Grand Rapids for networking, innovative sessions, and industry insights. Don't miss this premier event!
APG Spring Conference
May 10, 2024
The APG Spring Conference 2024 will be held in San Diego from May 29-31, focusing on shaping a sustainable and value-based healthcare system. More details here.
Share by: