Helping ACOs Decide between ACO REACH and MSSP in 2023

For ACOs that are still on the fence about whether to take the REACH path or MSSP, Andrew Webster breaks out the considerations from financial opportunity and risk exposure perspective. This decision might be especially challenging since CMMI is not planning to have new REACH entrants in future years.

Agenda

  1. Policy analysis
    1. MPFS
    2. REACH
  2. Empirical analysis
    1. Organization type
    2. Regions of the country
    3. GPDC results so far vs MSSP/NextGen
    4. Capitation
    5. Beneficiary enhancement utilization
  3. Benchmarking
    1. Health equity adjustment (HEBA/ADI)
    2. Risk adjustment
    3. REACH Ratebook
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