Health Affairs September 28, 2023
Amol S. Navathe, Joshua M. Liao

Next year, important changes are coming to a key feature of the ACO Realizing Equity, Access, and Community Health (REACH) model.

Launched by the Centers for Medicare and Medicaid Services (CMS) in January 2023, ACO REACH reflects a strategic direction by the CMS Innovation Center to orient payment around equity goals. In particular, the model includes a number of foundational advances for promoting equity through payment model design, including requiring explicit plans by participants detailing how they will improve health equity; collection of data on social drivers of health; and use of financial incentives directly tied to equity.

A key equity-oriented feature in ACO REACH is the Health Equity Benchmark Adjustment (HEBA). As its name suggests, the adjustment permits increases...

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