Healthcare DIVE August 15, 2023
Rebecca Pifer

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...

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