Cost report prompts tweaks to ACO REACH model

08/15/24 at 03:00 AM

Cost report prompts tweaks to ACO REACH model 
Modern Healthcare; by Bridget Early; 8/12/24 
The Centers for Medicare and Medicaid Services is making changes to its largest accountable care organization experiment to ensure it’s actually saving money. In a notice published on its website Aug. 1, CMS outlines a slew of planned updates to the ACO Realizing Equity, Access and Community Health, or ACO REACH, model in 2025. Notably, the agency is changing how it establishes benchmarks for "high-needs population" ACOs to guard against overspending while addressing the so-called "ratcheting effect," under which ACOs that contain spending face higher hurdles to earning shared savings in future years because of their past successes. [Access limited due to paywall.]
Editor's Note: Click here for the CMS ACO REACH Model Performance Year 2025 Model Update - Quick Reference.

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