The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model is an alternative payment model from 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.
Enhanced revenue opportunities for PCPs, including stable monthly payments and shared savings
Reduced patient cost sharing and out-of-pocket expense for patients
Easier access to post-acute providers including skilled nursing and home health providers
The VBC attribution list excludes many patients for whom I am caring.
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.
My patients ignore my referrals. They ‘leak’ to low quality providers, reducing my shared savings.”
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.
Most VBC programs have burdensome and costly quality reporting requirements.
The ACO REACH model’s quality measures are based on claims and patient satisfaction surveys, not complicated data submissions.
Help us tailor a data-driven analysis of what ACO REACH could mean for your practice by providing a few key details.
We’ll follow up with a report and give you the opportunity to schedule a no-obligation consultation with one of our experts.
Try out Pearl’s Value-Based Care Advisor tool to find out how much your practice could earn with ACO REACH.
Help us tailor a data-driven analysis for your practice by providing a few key details.
We’ll follow up with a report and give you the opportunity to schedule a no-obligation consultation with one of our experts.
Cut through the clutter with a quick overview about ACO REACH, how Pearl Health is positioned to support your practice, and Pearl’s broader vision for building an ecosystem to enable value-based success.
Get our complimentary guide on Direct Contracting
Medicare’s Accountable Care Organization Realizing Equity, Access, and Community Health (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.
Learn more about the financial impact of Direct Contracting
