Succeed in the ACO REACH Model

We can help you:

1. Analyze: Monitor expenditure categories to identify potential savings opportunities
2. Engage: Coordinate care of high-need, high-cost patients to prevent and minimize costs
3. Improve: Monitor provider performance to maximize the delivery of high-value care

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How to Succeed in ACO REACH

Success in the ACO REACH Model will require:

  • Robust health equity measures to support the required health equity plan and benchmark adjustments based on your ACO’s underserved beneficiaries
  • A hyper-focused understanding of your population demographic risk and frequency of HCC conditions within your population
  • An understanding of data interoperability standards in order to cost-effectively comply with the new ACO REACH data collection requirements

Derive Clinically-Relevant Insights From Your Claims Data

Organizations participating in the ACO REACH model need tools to monitor and improve performance across several critical metrics. CareJourney’s experience supporting half of the participants in the Direct Contracting Model and one-third of ACO REACH applicants provides us a detailed understanding of the insights needed in the latest CMS value-based care model.

CareJourney data and analytics will equip you with each of these necessary components, as well as guidance from subject matter experts, to help you succeed in helping all Medicare beneficiaries receive high value healthcare.

Solutions to Simplify ACO REACH Success

Designed to support the needs of ACO REACH participants, the CareJourney platform ingests monthly Claim and Claim Line Feed (CCLF) files and produces visualizations of key performance indicators: 

  • Monitor utilization, care model compliance and spend over time at a physician, TIN, and ACO level
  • Leverage patient-level reports to identify individuals who could benefit from care coordination
  • Better understand patients’ care journeys and identify ways to drive improved care outcomes
  • Segment patients by risk and meaningfully manage the care of high cost individuals

Get all of your ACO REACH questions answered.