ACO REACH Program: Investment Opportunities in Value-Based Care

Understanding the ACO REACH program and investment opportunities for family offices in value-based healthcare

Published on March 31, 2022

What is ACO REACH?

ACO REACH (Realizing Equity, Access, and Community Health) is a CMS Innovation Center model testing whether accountable care organizations can improve health outcomes while reducing Medicare costs. It evolved from the Direct Contracting model with enhanced health equity requirements.

The Family Office Opportunity

ACO REACH allows private capital to participate in Medicare savings through risk-sharing arrangements. Participating ACOs receive capitated payments for aligned beneficiaries, creating predictable revenue streams while incentivizing efficient, high-quality care delivery.

Financial Model

The program offers shared savings retention, total care capitation options, risk corridors limiting downside exposure, and quality bonuses tied to performance metrics. With Medicare spending exceeding $900 billion annually, the addressable market is enormous.

Technology Requirements

Successful participation requires sophisticated technology infrastructure including EHR integration, claims analytics, patient engagement platforms, and risk stratification engines. Our team evaluates tech stack viability as part of healthcare deal scoring.

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