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On October 23, CMS released the results and public use file for Global and Professional Direct Contracting (now known as ACO REACH)’s 2022 performance year. The program had 99 participating ACOs in 2022, of which 81 ACOs attained gross savings and 75 ACOs attained net savings (after applicable discounts, CMS shared savings, sequestration, and risk corridors).
In total, the 99 ACOs saved approximately $870M in gross savings (3.7%), including $371.5M in savings to Medicare.
At CareJourney, we have identified several key drivers of ACO success:
- Optimize Participant Network
- Maximize Beneficiary Enrollment
- Accurately Capture Risk
- Enhance Speciality Performance
- Improve PCP Performance
- Refine Post-Acute Routing
When we applied this framework to the 2022 Performance Year REACH ACOs, we found that the ACOs that realized the highest savings rate performed better along these drivers than those that realized losses.