On February 24, 2022, the CMS Innovation Center released the details on a new payment model, ACO REACH. ACO REACH represents a series of changes made to Global and Professional Direct Contracting (“Direct Contracting”, GPDC) to respond to criticisms faced by the program. ACO REACH adds in exciting new components aimed at closing health equity gaps in keeping with the Innovation Center’s Ten Year Plan released late in 2021.

With the additional focus on Equity for the new ACO REACH model, it's critical to understand how the beneficiaries you treat can have a positive or negative impact on your benchmark. 

CareJourney is a trusted partner to dozens of ACOs and DCEs, supporting new entrants to the ACO Reach Program as well as current DCE participants looking to transition to the new program. Our current members represent over half of the participating and preferred providers in Direct Contracting, making us the leading insights provider for these new and evolving risk models.

For existing DCEs (and future REACH ACOs), below are some additional ways CareJourney can help:

• Model attribution to help you understand alignment volumes
• Profile your regions and providers to understand the best partners
• Simulate your benchmarks to project your performance before finalizing your rosters
• Surface opportunities for Performance Improvement using your CMS supplied claims data

With the additional focus on Equity for the new ACO REACH program, it's critical to understand how the beneficiaries you treat can have a positive or negative impact on your benchmark. Get access to the interactive dashboard to see equity benchmarks by county and then read the full blog to get all your ACO REACH questions answered.