Belong participates in both ACO REACH and MSSP. Both programs aim to simplify navigation of the healthcare system for the most vulnerable populations through enhanced care coordination, improving access to benefits and minimizing unnecessary care. Belong works with providers and practices to identify which program they would be most successful in and then helps build partnerships that can support increased revenues for the practice while improved outcomes for members.
ACO REACH and MSSP
A stable and predictable revenue driver with less admin and better health outcomes.
Create. Build. Manage. Evolve.
We are your partner at every step in your ACO journey so you can quickly provide efficient and profitable value-based care for your Medicare fee-for-service beneficiaries.
Belong Health wraps around your practice
Risk & Quality
Cost Management
Care Management
Patient Engagement
Clinical Team & Patients
Regardless of ACO REACH or MSSP, our wrap-around approach results in increased practice/patient engagement and reduces unnecessary burden around Medicare population management. We provide a strong foundation that empowers you to improve clinical outcomes while lowering the cost of care.
So you can...
Focus on the patient in front of you
Get more insight and data about the care provided to your patients outside your practice
Have a local resource who understands the community you practice in
Invest in your practice and succeed in value-based care
Extend your practice offerings with Belong’s unique care management model to assist providers and practices in the management of Medicare fee-for-service beneficiaries
01
Patient education and engagement support
02
Tailored, high-risk member care planning and support
03
Hospital transitional care management
04
Post-acute care management and transitions
FAQ
What ACO programs does Belong participate in?
Who are ACOs for?
Providers: Primary care providers (physicians and mid-levels)
Patients: Medicare Fee for Service (FFS) beneficiaries
Why are ACO programs valuable to beneficiaries and participating providers?
ACOs provide beneficiaries greater attention to their individualized health needs and enhanced care coordination across their providers, while maintaining services and flexibilities beneficiaries value in Medicare FFS. The enhanced care coordination is deployed based on a process to take stock of the current state of the provider’s capabilities, and then supplementation with additional infrastructure via Belong Health. ACOs also allow many beneficiaries to take advantage of benefits that they may not have been aware of, or that are unique to the ACO REACH or MSSP.
ACOs allow providers to form communities across practices to collaborate and hold one another accountable for performance. Sharing management and costs across an ACO allows participating providers to utilize tools and resources to better coordinate, manage and improve the quality of care they can offer their Medicare FFS beneficiaries. These tools include actionable data and reporting, care management, and beneficiary engagement processes, among others.
What is the surplus opportunity?
In addition to the in-year enhanced payments Belong makes, ACO participating providers are eligible at the end of each program year for an additional surplus payment based on performance throughout the year. The surplus payment is determined by the cost of care savings for the population of aligned beneficiaries and performance on key quality measures for the ACO program.
What additional requirements will providers be expected to fulfill?
Providers will be engaging with their existing Medicare panel, with special attention to Annual Wellness Visits, the needs of highest risk beneficiaries, and fulfilling the focused quality measures of the ACO program. PCPs will have additional support through the ACO’s care management, care coordination services, and action-oriented data insights. As a result, participation in an ACO program should have minimal impact on primary care workload.
Better for your providers
Opportunity for shared savings
Greater control over provider savings distribution
Provider-led governance Influence and even control
ACO decision making
No forced documentation in an external system
Lower administrative burden
Better for your patients
Enhanced benefits
More accessible and personalized care
PCP support via care management
Stronger patient/provider relationship
Improved coordination of care
Improves patient outcomes
Beneficiary inclusion on board
Greater influence over experience
Belong Health is participating in both ACO REACH and the MSSP Models
Let’s build together
Ready to see how you can improve care for the most complex members of your community?
Get in touch so we can begin creating a holistic, data-informed product map of your existing portfolio.