ACO REACH participants face a number of new challenges starting January 1, 2023. CMS will require every participating ACO to have a health equity plan in place to successfully identify, engage, and intervene with socially vulnerable populations. Organizations will be measured and evaluated based on their ability to execute this health equity plan. ACOs are also required to assume 50% or 100% two-sided risk and as a result must implement strategies to reduce avoidable utilization and lower costs. Provider organizations must recognize that existing tools and strategies need to be reevaluated and upgraded to successfully engage underserved populations and individual patients with unique social determinant challenges.
– Describe the technology and staffing considerations of a successful and scalable health equity plan
– Evaluate key data sources for identifying patients at significant risk for social vulnerability
– Identify methods for engaging vulnerable populations to proactively monitor and intervene on relevant chronic conditions and social determinants of health.
Dr. Kent Locklear, MD, Chief Medical Officer, Lightbeam Health Solutions
Joe McDonald, MBA, President & Co-Founder, CareSignal