Reinventing & Maximizing Healthcare – The ACO Reach Model

 The healthcare industry has long sought to maximize its resources and create the best possible care for patients. In recent years, the ACO Reach Model, known as ‘Accountable Care Organization’, has been instrumental in helping healthcare facilities achieve those goals. It is a comprehensive approach to transforming the healthcare system that utilizes a set of principles and practices to help providers increase value-based care and improve population health.

The evolution of this model provides a significant opportunity for healthcare providers to take an active role in their patient’s health outcomes and maximize their return on investment. 

What is ACO Reach Model? 

The CMS ACO Reach Model is a healthcare delivery model and telehealth platform that focuses on providing high-quality care. This model seeks to reduce costs while increasing access and quality by focusing on preventive care that helps manage healthcare conditions more effectively. The goal of the model is to create meaningful interactions between professionals, payers, and patients while delivering high-value patient-centered services.

The model provides monetary incentives for healthcare professionals that fulfill the requirements of the course. These include delivering cost-effective services, enhancing access to care, and overall better population health management. The model also encourages the development of innovative models of provider collaboration such as telehealth services and virtual visits which can reduce costs while also improving patient satisfaction. 

ACO Reach Model vs. GPDC

The ACO Model is a redesigned version of the Global and Professional Direct Contracting (GPDC) Model but is discernible, yielding more noteworthy provider control, augmenting its focus on health equity, and reforming risk adjustment. This model serves to improve upon the Next Generation ACO Model, requires that all participants must have a strong health equity plan, and elevates the benchmark for ACOs aiding those underserved beneficiaries.

What Does the ACO Reach Try to Achieve?

ACO Reach seeks to achieve the following key objectives;

·         Increase access to quality care

·         Improved patient outcomes

·         Lower healthcare costs

·         Advanced health equity  

·         Upheld Management and Governance  

·         Protection of recipients with additional inspection, monitoring, and transparency

The Bottom Line

By working together across provider networks and utilizing innovative technology solutions, the ACO Reach Model seeks to provide more appropriate access for patients who require specialized care. To accomplish its goals, the model relies on shared responsibility across all stakeholders – including medical providers, recipients, payers, and other organizations – to work together towards improving quality through increased transparency and collaboration.