HealthLeaders Media January 3, 2023
Laura Beerman

CMS expands benefit enhancements as participant groups face unique challenges.

KEY TAKEAWAYS

– January 1 was the official start of CMS’ ACO REACH program.

– The date also marks the deadline for groups transitioning from the Global and Professional Direct Contracting Model to meet full ACO REACH participation requirements.

– CMS has also expanded the program’s benefit enhancements, permitting Medicare payment for new conditions.

After finding that only six of its 50 alternative payment models (APMs) “generated statistically significant savings to Medicare and to taxpayers,” CMS and the Center for Medicare and Medicaid Innovation (CMMI) hope that 2023 will refresh its value-based care (VBC) efforts.

Here are four updates to its newest VBC model — ACO REACH — as 2023...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Value Based
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