What is ACO REACH?

The Accountable Care Organization Realizing Equity, Access, and Community Health ACO REACH Model is an alternative payment model by the Centers for Medicare and Medicaid (CMS) to encourage primary care physicians (PCPs) and other eligible professionals to shift away from fee-for-service (FFS) compensation to value-based payments in primary care.

ACO REACH helps empower PCPs with autonomy to deliver care as they see fit by realigning financial incentives with patient outcomes, not volume.

About ACO REACH

How is the ACO REACH Model different from other Value-Based Care (VBC) programs?

Improvements on Past Medicare Value-Based Programs

ACO REACH Stable Payments
Stable Payments

Enjoy peace of mind with our stable payment system, ensuring revenue stability regardless of external factors.

ACO REACH Enhanced Revenue
Enhanced Revenue

Maximize your earnings by effectively managing your patient population, unlocking additional revenue opportunities.

Physician Enablement
Physician Enablement

Identify the patients most likely to need attention and drive performance in value-based care with easy-to-use technology and services.

Why you are probably frustrated with Value-Based Care (VBC) and how Medicare's ACO REACH Model is different

The VBC attribution list excludes many patients for whom I am caring.

The VBC attribution
The ACO REACH Model allows patients to be added to the attribution list when they complete a form designating a PCP.

The ACO REACH Model 1) reduces cost sharing for visits to your office and 2) provides patient incentives for following your care plan.

Many patients do not follow my care plan and miss follow-up visits due to costs.

The ACO REACH Model

My patients ignore my referrals. They  ‘leak’ to low quality providers, reducing my shared savings.

preferred network of specialists

REACH ACOs can build a preferred network of specialists, encouraging patients to visit higher quality providers.

REACH ACOs pay providers a fixed per-member-per-month giving revenue stability needed to invest in patient care.

I need cash flow today to pay for my care management activities. Other VBC programs make bonus payments almost a year later.

REACH ACOs pay providers a fixed per-member-per-month

Most VBC programs have burdensome and costly quality reporting requirements.

About ACO REACH

The ACO REACH model’s quality measures are based on claims and patient satisfaction surveys, not complicated data submissions.

How much more could your practice earn with Pearl?

Try out Pearl’s Value-Based Care Advisor tool to find out how much your practice could earn with ACO REACH.

Pearl's new Value-Based Care Advisor tool
The ACO REACH Model

See what VBC could mean for your practice, in practice.

Share a few key details with us to receive a personalized, data-driven analysis tailored to your specific practice.

The ACO REACH Model

See what VBC could mean for your practice, in practice.

Share a few key details with us to receive a personalized, data-driven analysis tailored to your specific practice.

About Medicare's ACO REACH Model by Pearl Health

FREE GUIDE

Pearl's Guide to Medicare's ACO REACH Model

Cut through the clutter with a quick overview about the ACO REACH Model. Discover how Pearl Health is positioned to support your practice with a broader vision for building an ecosystem that enables value-based success.

ACO REACH Financial Impact and Illustrative Case Study by Pearl Health

Free guide & case study

Financial Impact of Medicare's ACO REACH Model

Medicare’s ACO REACH model provides an opportunity for PCPs to capture the full dollar value generated from effectively managing care for Medicare patients. PCPs can use these funds to reinvest in their staff, their practices, and their patients. 

We identify opportunities for providers to participate in the ACO REACH Model and give them the tools to succeed.