Healthcare DIVE August 15, 2023
Among other changes, regulators reduced enrollment minimums for accountable care organizations in the program.
Dive Brief:
- The CMS on Monday announced a slew of changes to the ACO REACH program that regulators said were designed to increase participation in the alternative payment model.
- Regulators lowered enrollment minimums for accountable care organizations in the program, which allows providers to link up and form groups to manage care and costs for fee-for-service Medicare enrollees.
- The CMS also increased the amount of money that needs to be reserved by participating ACOs in a bid to mitigate risk; and revised the risk adjustment methodology in the program to align with risk adjustment in Medicare Advantage.
Dive Insight:
ACO REACH, which began its...