Choosing Your Path in Value: MSSP vs ACO REACH, A Comprehensive Evaluation of Both Risk-Based Options

Accountable care organization (ACO) models have been the Center for Medicare & Medicaid Services’ (CMS) primary vehicle for value transformation since the passage of the Affordable Care Act. Under an ACO model, coalitions of providers agree to assume responsibility for the cost and quality outcomes of a defined population of patients. And although the specific methodologies, terminology, and model policies vary, all ACO programs are oriented toward population health and include some form of total cost of care (TCoC) accountability.

This brief is designed to help provider organizations who are ready to take on significant levels of downside risk to judiciously evaluate the available options, consider the general opportunities and risk associated with the models, compare the methodological differences between MSSP BASIC Level E TRACK and MSSP ENHANCED TRACK with the ACO REACH Professional Option and ACO REACH Global Option, and assess organizational fit.

This paper is has been produced in partnership with, and through the generous sponsorship of Lumeris

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