See what’s possible with ACO REACH

We believe value-based care can work for all of us.

Joining a REACH ACO opens up new benefits for your Medicare patients and new financial opportunities for you.

The first step is finding the right partner

Someone who has done all the regulatory homework and understands the financial levers. Someone with a strong population health playbook, and big-hearted care coordinators who connect with patients outside of the practice. And most importantly, someone who understands your practice and provides solutions built around your priorities. More than 2,000 providers have already partnered with NeueHealth. Join us!

The NeueHealth approach

We bring an individual approach to each partnership to bring the possible to life. Whether you’re considering your first ACO or your fourth, we have a suite of services to enhance your capabilities and improve your performance. For all partners, we bring competitive financial terms, a team of best-in-class care managers, and actionable dashboards.

doctor talking with a patient

NeueHealth partners with groups, practices, and clinics of all sizes, in rural and urban communities—with extra heart for small practices and federally qualified health centers and community health centers.

Our partnerships are flexible. If a one- or two-year commitment is what makes sense for your practice, we’re all for it.

doctor monitoring oxigen

Surround your patients with care

Our Care Coordinators serve as an extension of your team, connecting with patients beyond the doors of your practice to provide whole-person, whole-hearted care. Care Coordinators virtually integrate into your practice at no cost to you or your patients, with a focus on:

  • Care at home, including telehealth and home visits (based on eligibility)

  • Transitions of care, starting during a hospitalization and continuing at home

  • Social care needs, from basic needs like food, shelter, and financial assistance to counseling, weight management, and caregiver support

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Get rewarded for doing the right thing

When you partner with NeueHealth, your practice will see financial benefits in two ways:

  • You can receive enhanced rates or capitation payments monthly to recognize the work you do all year long.

  • You will share in the ACO savings based on your performance. Shared savings are paid as an annual lump sum after the final reconciliation.

Frequently Asked Questions

The Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model is a value-based payment model introduced by the Center for Medicare and Medicaid Innovation (Innovation Center) to help reduce the total cost of care and enhance quality specifically for Fee-For-Service (FFS) Medicare patients. The ACO REACH model will begin January 1, 2023.

The ACO REACH Model will replace the Direct Contracting model – also known as the Global & Professional Direct Contracting (GPDC) Model – in 2023. The transition to ACO REACH from Direct Contracting marks a move to greater emphasis on health equity, provider-led organizations, and protections for beneficiaries. The fundamentals of how the model itself works will remain the same. As an approved Direct Contracting Entity (DCE), NeueHealth’s participation will continue in ACO REACH.

Medicare beneficiaries – including beneficiaries in underserved communities – can expect to see improved coordination of their care because their provider is participating in this model. ACO REACH makes it easier for providers to work together to improve health outcomes for their patients. The program is expected to improve beneficiary experience by making care more accessible, promoting preventive care, and reducing duplicate tests and procedures. Beneficiaries may also be eligible for additional benefits and incentives (including a gift card) through the model. Beneficiaries included in the model keep all of their rights, coverage, and benefits, including the freedom to see any Medicare-enrolled provider they want.

CMS will align beneficiaries to the Participant Provider from whom they receive most of their primary care. The beneficiary must have had an encounter with the provider in the past two years, live in the service area, and be enrolled in Medicare Part A and Part B. This is known as claims-based alignment. Beneficiaries may also self-select the REACH ACO by completing a Voluntary Alignment Form designating one of the Participant Providers as their main source of care.

Participant Providers in the REACH ACO may be eligible to receive a 5% Advanced APM incentive payment from CMS and be exempt from the Merit-Based Incentive Payment System (MIPS). To qualify, at least 50% of a physician’s Medicare Part B payments or 35% of their Medicare patients must be seen through an APM.

No. A Participant Provider may only participate in one APM, such as a REACH ACO or MSSP. However, a Participant Provider may be a Preferred Provider in another APM.

NeueHealth has contracted with providers in California, Florida, Illinois, Missouri, and Ohio for the Direct Contracting model. With the REACH ACO, we are planning to grow in our existing states and to new states, including North Carolina and Texas.