Lexology September 11, 2023
Sheppard Mullin Richter & Hampton LLP

On August 14, 2023, the Centers for Medicare & Medicaid Services (CMS) released guidance on changes to the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model starting in performance year 2024 (PY2024). The changes came about in response to stakeholder and participant feedback. All ACO REACH participants should familiarize themselves with the upcoming changes.

CMS’ stated aims for these updates are to improve the ACO REACH Model by:

  1. Increasing predictability for model participants;
  2. Protecting against inappropriate risk score growth and maintaining consistency across CMS innovation models; and
  3. Advancing health equity

Highlights of the Model updates for each of the above aims are discussed below.

Aim: Increasing Predictability for Model Participants

In an effort to...

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Topics: ACO (Accountable Care), CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicare, Payment Models, Provider, Value Based
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