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In The News:
CMS Innovation Center
Changes DCE To ACO REACH

Payment models continue to shift, and we've seen regular adjustments to better implement healthcare strategies, particularly for vulnerable populations. This year, the Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure and CMS Center Director Elizabeth Fowler announced a new healthcare model: the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH).

 

Advocates for the model highlight its potential to improve the quality of care for underserved communities based on new guidelines for Medicare providers. Ultimately, these changes may improve the quality of care and coordination for Medicare patients. 

 

While CMS made several changes to the DCE model, some were more notable than others, including adjustments to the governance, health equity, screening, risk score growth, and finance of the previous model. In fact, the ACO REACH model introduces a health equity benchmark adjustment to identify underserved communities and improve the health disparities based on health data.

 

With a new set of standards for Medicare patients, we look forward to improved health equity and compliance nationwide – with potential increased shared savings across the board.

 

Disclaimer:     

The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.