The Expansion of Healthcare Under the ACO REACH Model

Accessible Healthcare Is Made Possible Through ACO REACH

If all participants design and put into action effective health equity plans according to arrangements of the ACO REACH model, then patients will receive improved assistance and better coordination. Through this, underserved communities will be located, and then measures will be put into place to eliminate health disparities in the population. 

Heightened focus on programs for beneficiaries

ACO REACH outlines the advantages for both providers and recipients, as well as tighter controls than in the past. It is hoped that the new strategy would provide underserved populations with extended Medicare coverage as well as enhanced advantages, including telemedicine consultations, post-clinical home visits, and reduced cost-sharing for those who qualify. ACO REACH, as a new healthcare model, may build on the best practices of previous healthcare models to develop new and distinct healthcare footprints that don't disrupt current working methods.

New duties and rights under the new law for providers

The new ACO REACH programs will have stricter admission rules, performance monitoring requirements, and transparency requirements. Providers that are chosen to participate in ACO REACH will assume greater responsibility for the program, with each being responsible for at least 75% of the costs. With the help of ACO REACH, healthcare professionals will have access to more resources and tools to better coordinate patient care and deliver higher-quality care to patients.

What Existing GPDC Members Can Anticipate

53 GPDC members are Direct Contracting Entities (DCEs) eligible for ACO REACH when GPDC is phased out. Many DCEs and ACOs support this effort, believing it will empower many physicians and encourage more people to take control of their health. ACO REACH is CMS's new accountable care strategy starting in October 2021, and it will most likely have these five goals in the updated plan when ACO REACH opens from March 7 until April 22, 2022:

• Everyone is involved in the beneficiary’s healthcare journey
• Access to healthcare will increase
• Innovative healthcare will be implemented
• Accessibility costs will be reduced
• Healthcare will essentially be transformed to be more equitable for many

Preparation for the ACO REACH Application

Since the advent of ACO REACH, many companies are eager to participate in innovative and improved healthcare models. Direct contracting models such as ACO REACH and GPDC are projected to travel into uncharted areas, with some possible roadblocks along the way as expected, just like the GPDC direct contracting model. ACO REACH must make use of all available resources to stay abreast of the rapidly evolving healthcare landscape.

When it comes to supporting healthcare programs with integrated healthcare administration solutions, MedVision has worked tirelessly for almost three decades. With ACO-REACH OS' customizable modules and interoperability abilities, administrative healthcare processes may become more simple and convenient. When it comes to integrating fundamental ACO administrative tasks, ACO-REACH OS is an excellent platform that can do it all.

• Manage authorization and case management process
• Complete entire lifecycle for claims
• Certify credentials and define and plan contracts
• Generate actionable reports 

There are many more critical operational aspects to running a successful healthcare organization. To satisfy your operational ACO REACH criteria while giving great value to your business, leverage ACO-REACH OS.

Discover what ACO-REACH OS can do for you!