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 ACO wraps around your practice

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.


Engage your providers and create a network of community physicians
Lead with simple and transparent data
Support your practice by being in your practice

So you can...

Grow your panel through voluntary alignment and increase revenue and shared savings
Move your practice toward a value-based payment model as healthcare rapidly shifting away from fee-for-service
Meaningfully participate to address Health Equity

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

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    Patient care and SDoH assessments, care planning, and medication optimization

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    Health equity plan development

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    Patient education support

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    Transitional gaps-in-care


What is ACO REACH?

Accountable Care Organizations Realizing Equity, Access and Community Health (ACO REACH) is a federal program funded by the Center for Medicare & Medicaid Innovation (CMMI). ACO REACH aims to simplify navigation of the healthcare system for the most vulnerable populations through enhanced care coordination, improving access to benefits and minimizing unnecessary care. ACO REACH encourages health care providers to form accountable care organizations (ACO) and deliver higher quality, well-informed, coordinated care to their beneficiaries. For PY2024, there is additional focus on the following areas:

  • Greater focus on advancing health equity (including social determinants of health)
  • Encouragement of provider leadership and governance
  • Protect beneficiaries by additional participant vetting, monitoring and transparency
Who is ACO REACH for?

Providers: Primary care providers (physicians and mid-levels)
Patients: Medicare Fee for Service (FFS) beneficiaries

Why is the ACO REACH program valuable to beneficiaries and participating providers?

ACO REACH provides 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. ACO REACH also allows many beneficiaries to take advantage of benefits that they may not have been aware of, or that are unique to the ACO REACH program.

ACO REACH allows 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?

At the end of each program year, ACO REACH participating providers are eligible 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 that align with the four applicable quality measures CMS has instituted for the ACO REACH program:

  • All-cause unplanned admissions for patients with multiple chronic conditions
  • Risk-standardized all-condition readmission
  • Timely follow-up after acute exacerbations of chronic conditions
  • CAHPS (Consumer Assessment of Healthcare Providers and Systems)
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 members, and fulfilling the focused quality measures of the REACH 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 ACO REACH should have minimal impact on primary care workload.

Better for your providers

Guaranteed enhanced monthly revenue
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Revenue stability + predictable cash flow
Opportunity for shared savings
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Greater control over provider savings distribution
Quality measured through four metrics
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Lower administrative burden –e.g., no chart
Voluntary alignment
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Grow your own panel
Provider-led governance Influence and even control
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ACO decision making

Better for your patients

Enhanced benefits
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More accessible and personalized care
PCP support via care management
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Stronger patient/provider relationship
Voluntary alignment
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Option to join REACH throughout year
Health equity initiatives
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Improves identification of additional care needs
Beneficiary inclusion on board
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Greater influence over experience

Belong Health ACO is participating in the ACO REACH Model

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.