Realizing Equity, Access, and Community Health ACOs

The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model dataset provides overview information on REACH ACOs including their name, number of years in the program, and contact information of key personnel. DISCLAIMER: This information is current as of the last update. Changes to ACO information occur periodically. Each ACO has the most up-to-date information about their organization. Consider contacting the ACO for the latest information.<br><br>Model OverviewThe ACO REACH Model provides novel tools and resources for health care providers to work together in an ACO to improve the quality of care for people with Traditional Medicare. REACH ACOs are comprised of different types of providers, including primary and specialty care physicians.The ACO REACH Model makes important changes to the previous Global and Professional Direct Contracting (GPDC) Model which include: <br> Promote Provider Leadership and Governance. The ACO REACH Model includes policies to ensure doctors and other health care providers continue to play a primary role in accountable care. At least 75% control of each ACO's governing body generally must be held by participating providers or their designated representatives, compared to 25% during the first two Performance Years of the GPDC Model. In addition, the ACO REACH Model goes beyond prior ACO initiatives by requiring at least two beneficiary advocates on the governing board (at least one Medicare beneficiary and at least one consumer advocate), both of whom must hold voting rights. <br> Protect Beneficiaries and the Model with More Participant Vetting, Monitoring and Greater Transparency. CMS will ask for additional information on applicants’ ownership, leadership, and governing board to gain better visibility into ownership interests and affiliations to ensure participants’ interests align with CMS’s vision. We will employ increased up-front screening of applicants, robust monitoring of participants, and greater transparency into the model’s progress during implementation, even before final evaluation results, and will share more information on the participants and their work to improve care. Last, CMS will also explore stronger protections against inappropriate coding and risk score growth. Resources for Using and Understanding the DataThis dataset is based on information submitted by ACOs via the 4innovation (4i) System and obtained by CMS during the application review process. Within this data, users can access overview information about REACH ACOs.

《问责式护理组织实现公平、可及与社区健康（Accountable Care Organization Realizing Equity, Access, and Community Health，简称ACO REACH）模型数据集》提供了REACH问责式护理组织（Accountable Care Organization，ACO）的概况信息，包括其名称、参与该项目的年限以及核心工作人员的联系方式。免责声明：本信息截至最近一次更新时有效。ACO相关信息会定期更新，各ACO拥有其自身组织的最新信息，建议联系对应ACO获取最新动态。<br><br>模型概述<br>ACO REACH模型为医疗服务提供者提供了创新工具与资源，支持其在ACO框架内协同合作，以提升传统医疗保险（Traditional Medicare）参保人群的医疗服务质量。REACH ACO由多种类型的医疗服务提供者组成，包括全科医生与专科医师。<br>ACO REACH模型对此前的全球与专业直接签约（Global and Professional Direct Contracting, GPDC）模型做出了多项重要变革，具体包括：<br>推动医疗服务提供者主导与治理。ACO REACH模型设有相关政策，确保医师与其他医疗服务提供者在问责式护理中继续发挥核心作用。通常情况下，各ACO治理机构至少75%的控制权需由参与的医疗服务提供者或其指定代表持有，而GPDC模型的前两个绩效年度仅要求25%的控制权。此外，ACO REACH模型超越了此前的ACO项目要求，规定治理委员会至少需包含两名受益人权益代言人（至少一名为医疗保险参保受益人，至少一名为消费者权益代言人），且二者均需拥有表决权。<br>通过更严格的参与者审核、监测与更高透明度保障参保受益人与模型运行。美国医疗保险与医疗补助服务中心（Centers for Medicare & Medicaid Services, CMS）将要求申请者提供更多关于其所有权、领导层与治理委员会的信息，以便更清晰地掌握其权益关联与隶属关系，确保参与者的利益与CMS的愿景保持一致。本项目将加强对申请者的事前筛查、对参与者的全方位监测，并在模型实施期间（甚至在最终评估结果出炉前）提升模型进展的透明度，同时分享更多关于参与者及其改善医疗服务工作的相关信息。最后，CMS还将探索针对不当编码与风险评分增长的更严格防护措施。<br><br>数据使用与理解资源<br>本数据集基于ACO通过4innovation（4i）系统提交的信息，由CMS在申请审核过程中获取。用户可通过本数据集获取REACH ACO的相关概况信息。