Why Apply For ACO REACH? The Answer May Surprise You

Why Apply for ACO REACH: Looking into the Premiums

ACOs are the frontrunners in delivering coordinated, value-based care. ACO REACH empowers organizations with approved applications to provide care at a higher level. The new model ensures that patients receive timely and appropriate treatment by following established guidelines. Effective communication among all the providers involved in each case prevents unnecessary duplication of services and high costs. A thorough initial treatment also saves the patient from medical errors and possible repeated hospital visits. The desired outcome of ACO REACH is better management of chronic conditions and a more comfortable life for those affected.

Each participant receives significant financial rewards when they achieve higher numbers in positive outcomes. They also gain more flexible health equity benchmarks when they provide services to those on the periphery of society. ACO REACH not only displays merits for participants but also for beneficiaries.

Read More: How ACO REACH is Designed to Bring Equity to Healthcare

Crossing the Threshold Towards Elevated Care Delivery

CMS establishes guidelines for REACH applicants with the intention that they will succeed with the new system. Each organization needs a strong and stable foundation. This is why each candidate institution must adhere to the tenets of the Global and Professional Direct Contracting (GPDC) model, the predecessor of ACO REACH. An excellent medical director and executive manager can assist groups with this. Companies led by the best and most qualified individuals have a higher chance of having a successful application.

Those who want to participate in the current framework must demonstrate competence and experience in direct patient care. A record of success in supporting underserved populations also increases their chance of an approved application. Lastly, CMS will evaluate an association's program integrity and any affiliated entities. The integrity review findings play a significant role in determining an applicant’s acceptance.

Why apply for ACO REACH when there are a handful of hoops to get through? 

Determined providers don’t lose sight of their primary goal of delivering excellent value-based care. Collaboration between ACO and ACO REACH expands care for multiple populations. When organizations partake in this new system, they treat those in greatest need. Subsequently, these companies gain experience, become more efficient, and receive financial advantages. It’s beneficial for all involved parties!

Read More: The Complete Guide To an Effective ACO REACH Application

Discover How Robust Administrative Resources Can Help You

There's a lot of hope for the future of healthcare thanks to CMS's new healthcare delivery model. Why apply for ACO REACH and join the ranks of institutions that will take value-based care to the next level? A successful application has a consequential impact on the overall operations of your association. Enhanced operational efficiency, increased productivity, and economic gain are all on the line. This is why it is important to work with reliable software that can easily adapt to your company's challenges.

To address the executive dilemmas of healthcare providers, MedVision developed QuickCap 7 (QC7), its most comprehensive and versatile administrative platform. QC7 assists you across multiple ACO operations using powerful features, including the following:

• complete display of yearly provider scorecards;
• automated authorization and claim guidelines;
• integrated communication tools;
• organized data storage; and
• extensive report generation.

Get Started Now and Achieve Your ACO REACH Goals!

References:

1. ACO REACH | CMS Innovation Center. “ACO REACH | CMS Innovation Center,” March 7, 2022. https://innovation.cms.gov/innovation-models/aco-reach.
2. Stovall, Kristi. “ACO REACH – a Good Opportunity? - FLAACOs.” FLAACOs, April 13, 2022. https://flaacos.com/aco-reach-a-good-opportunity/.