On August 15, 2022, the Centers for Medicare & Medicaid Services (CMS) approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new Realizing Access, Equity and Community Health (REACH) ACO Model. In response to a request for applications released in February, CMS received 57 applications from ACOs seeking to participate as High Needs REACH ACOs.

The REACH ACO Model Overview

The REACH ACO Model replaces the discontinued Medicare Global and Professional Direct Contracting (GPDC) Model. CMS announced the REACH ACO Model in February 2022. The first performance year of the ACO REACH Model will start . . .

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Medicare

The Medicare program is a health insurance program funded by the federal government for older adults, aged 65 and above, as well as younger individuals who have disabilities or end-stage renal disease. There are both strategic opportunities and challenges for health and human service provider organizations serving Medicare beneficiaries, who often have complex health and social support needs. As a result, Medicare plans are looking for innovative services and initiatives that demonstrate a return-on-investment in spending and consumer outcomes.


Medicare mental health specialists with high uptake of telemedicine mental health services between 2018 and 2023 had a 0.88 percentage point higher share of services provided to fee-for-service (FFS) beneficiaries in rural areas, compared to mental health specialists in the lowest telemedicine uptake quartile, according to a recent study. Much of the increase in rural service use was due to existing patients moving farther away from their specialists, rather than new rural beneficiaries seeking out… Read