Policy & Medicine September 8, 2024
Thomas Sullivan

The United States Centers for Medicare and Medicaid Services (CMS) recently issued changes to the ACO REACH Model, including adjusting the financial methodology and strengthening the operational flexibility and risk management. Some of the announced changes are below.

Benchmarks

One such change relates to the benchmark blend of historical/regional expenditures for standard ACOs. In performance year 2025, CMS will not increase the percentage of expenditures comprising the benchmark blend rate as previously planned. Instead, the rate for Standard ACOs will be held at a blend of 55% historical baseline expenditures and 45% regional expenditures.

Additionally, in ACO REACH, the current upward and downward adjustments from blending regional expenditures into the benchmark are limited, with the ceiling limited to 5%...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

Continue Reading

 
Topics: ACO (Accountable Care), CMS, Govt Agencies, Payment Models, Provider, Value Based
Related Articles:
Podcast: Medicare Shared Savings Program Mints $2B Win for Value-Based Care w/ Frank McStay
Increasing the Longevity of Accountability, Designing Cooperative Models, and Transferring Risk Across a Lifetime of Accountable Care
Louisiana Physician Exec Describes Keys to MSSP ACO’s Success
Primary care-centric ACOs generate better savings and better outcomes
Home-Based Care Provider HarmonyCares Thrives In ACO REACH’s First Performance Year

Share This Article