The Centers for Medicare & Medicaid Services (CMS) Innovation Center is implementing changes to the ACO REACH Model, starting in Performance Year (PY) 2026. The changes are based on early findings in a preview of the PY 2023 Evaluation Report; CMS aims to improve the model’s sustainability by adjusting the financial methodology.
ACO REACH is an advanced accountable care organization (ACO) initiative that provides novel tools, payment methodologies, and resources for primary care and specialty care providers to work together to support delivery of care and improve population health of beneficiaries in Traditional Medicare. In 2025, over 900 Federally Quality Health Centers, Rural Health Clinics, and Critical Access Hospitals participated in ACO REACH.
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