This article summarizes the major provisions of the new ACO Reach Model and the expanded role of home-based care providers.

“CMS is testing a redesigned model because accountable care organizations make it possible for people in traditional Medicare to receive greater support managing their chronic diseases, facilitate smoother transitions from the hospital to their homes, and ensure beneficiaries receive preventive care that keeps them healthy,” said Liz Fowler, CMS Deputy Administrator and Director of the CMS Innovation Center.

The ACO Realizing Equity, Access, and Community Health (REACH) Model replaced the Global and Professional Direct Contracting Model on January 1, 2023. This model offers higher levels of risk and reward than the Medicare Shared Savings Program MSSP. The model will run through 2026.