New ACO REACH Model: ACO Realizing Equity, Access, and Community Health Model, Navigating the Transition, Ensuring Compliance

Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
- work Practice Area
Health
- event Date
Wednesday, June 1, 2022
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE course will guide healthcare counsel on the new accountable care organization (ACO) model--the Realizing Equity, Access, and Community Health (REACH) model--a significant overhaul to its Global and Professional Direct Contracting (GPDC) model. The panel will address critical considerations organizations face in the transition from the GPDC model to ACO REACH and others now opting to take global risk, and offer best practices for the transition.
Faculty

Ms. Blumenthal practices as part of the firm’s health care group. She provides regulatory, transactional and compliance advice to clients throughout the health care industry, including hospitals and health systems; universities and medical schools; managed care organizations; physician and provider networks; and pharmaceutical, biologic and medical device companies. Ms. Blumenthal advises clients on a variety of matters including corporate structure and governance, joint ventures, university-hospital relationships, privacy and data security, government enforcement, and government and third-party payment.

Ms. Swank is a healthcare attorney and nationally known speaker and author with over 20 years experience both as senior in house counsel and in private practice. She is passionate about transforming healthcare through clinical research, virtual care models, innovation, and promoting access to safe, high quality healthcare and evidenced-based medicine. Ms. Swank supports healthcare providers, life-science companies, and digital startups through the compliant and effective use of technology, AI, secondary data, remote patient monitoring, health equity, clinical research and population health. She hosts a national podcast for the American Health Law Association called the "GC Roudtable."

Ms. Cheltenham is a nationally certified health care provider and health law attorney. She focuses her practice on advising hospitals, health systems, clinical laboratories and other health care providers on a broad range of strategic and operational issues, including managed care contracting; reimbursement; value-based payment models; licensure and certification matters; clinical services and patient care issues; government investigations; and regulatory and compliance matters.
Description
In February 2022, the Centers for Medicare & Medicaid Services (CMS) and CMS Innovation announced an overhaul of its GPDC model. The change means impacted healthcare organizations will transition to the new model, ACO REACH, in 2023.
The new model includes some aspects of the current GPDC. However, there are several changes. The ACO REACH model requires that participating providers or appointees control 75 percent of the ACO's governing body. This is an increase over the current model but is consistent with CMS requirements for shared savings programs. The new model also introduces a health equity benchmark adjustment to support healthcare delivery for underserved communities and reduce health disparities.
The ACO REACH model calls for increased screening and monitoring of applicants and participants. Organizations that want to proceed with participation in the model will have unique opportunities and must ensure compliance with the new requirements.
Listen as our authoritative panel of healthcare attorneys examines the new ACO REACH model. The panel will address the policy and legal considerations organizations face in the transition from the GPDC model to ACO REACH and offer best practices for the transition.
Outline
- New ACO REACH model and differences from prior models
- Key considerations in the transition
- Ensuring compliance with the new requirements
- Best practices for the transition and preparing for global risk sharing
Benefits
The panel will review these and other key issues:
- The key features of the new ACO REACH model and understanding the role of health equity and global risk
- Critical differences between former GPDC and prior models and new ACO REACH model
- Steps to take to ensure compliance with the new requirements
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