The CMS ACO Reach Model stands at the forefront of healthcare transformation, driving the transition from traditional fee-for-service reimbursement to value-based care. This innovative approach, initiated by the Centers for Medicare & Medicaid Services (CMS), aims to improve healthcare quality, patient outcomes, and cost-effectiveness by incentivizing coordinated care delivery among providers.
The model builds upon the foundation of the Accountable Care Organization framework, fostering collaboration among healthcare providers to achieve shared savings and enhance patient care. Unlike traditional fee-for-service models, where reimbursement is based on the volume of services provided, the ACO Reach emphasizes value-based reimbursement tied to quality metrics and cost containment.