Making Healthcare Accessibility A Reality With The ACO Reach Model

The healthcare system is a multifaceted and exigent landscape to navigate, however, with the introduction of the ACO Reach Model; it has become possible to make healthcare accessibility a reliable truth. The ACO (Accountable Care Organization) Reach Model is developed by the Centers for Medicare and Medicaid Services (CMS) to increase access to quality care for vulnerable populations.

As for the goals, this model seeks to reduce costs, promote innovation, and improve healthcare outcomes for patients. It uses multiple strategies to ensure better coordination between providers, payers, and other stakeholders to reduce costs while increasing access to high-quality healthcare services. It aims to improve access to quality care for all individuals regardless of financial and geographical barriers.

What Makes the ACO Reach Different?

Unlike other Value-Based programs, this model seeks to incentivize providers to improve outcomes, reduce costs, and increase access to care. It differs from other VBC programs in its focus on realigning provider incentives with shared savings, providing more flexibility in how providers can achieve the desired results. 

The main differences between the ACO Reach Model and other VBC programs are its risk structure, payment methodology, and quality improvement strategies. Unlike fee-for-service models which are based on the volume of services provided, the ACO Reach Model operates on a population-based model that pays providers based on expected utilization rates within their patient population.

Opt for Unparalleled Efficiency & Convenience with ACO Reach

• Reduced Cost Sharing (for both payers & providers).

• Provides Patient Incentives for following the healthcare plan.

• Creates an Ideal Association of Experts for patients to visit higher-quality healthcare experts.

• Patients are appended to the attribution list upon completion of a form stipulating a primary care physician.

• Revenue Stability for Providers to better endow in patient care through preset each-member-each-month giving strategy.

• Patient Satisfaction surveys and performance reviews provide the foundation for quality measures.

Final Verdict

The ACO Reach Model is a highly promising concept that can help reduce health disparities and increase access to care. It is focused on health equity, patient engagement, administrative improvement, and innovation that can provide a more cost-effective means of delivering quality care. It enables a holistic approach that promotes collaboration between providers, payers, and patients to ensure better value for all stakeholders. Overall, the combination of health data measurement, analytics, and clinical decision support offered by the model will help to improve outcomes for patients.


 

Comments

Post a Comment

Popular Posts

Persivia will be attending The 21st Risk Adjustment Forum 2023

Image
As healthcare organizations continue to navigate the complex landscape of risk adjustment, conferences like The 21st Risk Adjustment Forum 2023 have become a valuable resource for industry professionals. This year, Persivia is proud to declare its presence at this prestigious event. What is The 21st Risk Adjustment Forum 2023? The Risk Adjustment Forum is a leading conference focused on the latest developments and best practices in risk adjustment for the healthcare industry. It brings together professionals from across the country to share insights, learn from one another, and explore new strategies for improving risk adjustment performance. This year, the event will take place at Fairmont Chicago, Millennium Park from the 8th - the 10th of May 2023. The conference will feature a wide range of presentations, panels, and discussions on topics like risk adjustment space, ACO Reach & so on! Attendees will have the opportunity to network with peers, meet with industry experts
Read more

How is Healthcare Data Aggregation Revolutionizing Medical Research?

Image
In the pursuit of medical breakthroughs, researchers have discovered a formidable ally: data aggregation . Like a fearless conqueror, this process fearlessly harnesses the vast depths of healthcare data, unraveling its hidden mysteries to transform the landscape of medical research. With each byte of information assimilated, a new frontier of knowledge emerges, challenging conventional wisdom and propelling us toward a future where the disease is thwarted, treatments are personalized, and patient care knows no bounds.  Enhancing Research Capabilities through Data Aggregation in Healthcare ·          Amplifying Research Scope Healthcare data aggregation enables researchers to access an extensive array of patient data, including electronic health records (EHRs), clinical trials, genetic information, and more. This broadens the scope of research studies and facilitates comprehensive analysis. ·          Breaking Down Data Silos Previously, data silos hindered collaboration and
Read more

Healthcare Organizations Utilize PHM Platform For Many Reasons

Image
Population Health Management (PHM) is a specific form of care that includes prevention, vigilant access to health services, and community involvement in the healthcare setting. The Population Health Management Platform converts healthcare delivery from reactive to proactive monitoring for a specific population group at the lowest possible cost. Due to the drastic revolution in the healthcare system's service delivery and financing procedures, the Population Health Management Platform is becoming increasingly relevant. It works alongside a value-based care system, a reimbursement model used by public and commercial health insurance companies, Accountable Care Organizations (ACOs), and healthcare professionals. The value-based care model and Population Health Management emphasize delivering top-quality treatments while lowering the financial burden by directing resources toward outpatient services to reduce re-hospitalizations. Likewise, the payments have now become primarily p
Read more