CMS’ new ACO REACH (Realizing Equity, Access, and Community Health) Model is the redesigned and renamed Direct Contracting (DC) Model. Similar to its predecessor, ACO REACH is designed with two risk-sharing options in mind and focuses on empowering beneficiaries, reducing provider burden and accelerating risk assumption.

Understand the transition from Direct Contracting to ACO REACH in our related blog post.

The ACO REACH application period for Performance Year 2023 and the optional Implementation Period (running August 1, 2022, through December 31, 2022) is March 7, 2022, to April 22, 2022.

Organizations currently participating in the DC Model will be permitted to continue participating in the ACO REACH Model, provided they maintain a strong compliance record and agree to meet the requirements of the ACO REACH Model by January 1, 2023. It is anticipated that this will be the only application period offered for the ACO REACH Model, which is set to run through Performance Year 2026.

Organizations that want to drive success in ACO REACH will need to:

  • Understand readiness for advanced risk
  • Identify the pace of adoption of these models in the market
  • Actuarially assess available options to optimize performance


New models like ACO REACH are complex, but Sg2’s expertise—and experience—in value-based care can help your organization power your success across the entire life cycle of your ACO REACH participation.


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Learn more about ACO REACH through Sg2’s…

  • Expert Q&A: Our ACO REACH experts are available to answer your questions on the new program


Our Experts

Tawnya Bosko, DHA    
Tawnya Bosko, DHA, PhD

Senior Principal, Sg2 Consulting
A nationally recognized expert, Tawnya Bosko partners with clients to develop successful value-based care enterprise strategies and provides program-specific guidance on financial modeling and physician-hospital alignment.

Regina Menza    
Regina Menza

Senior Director, Sg2 Consulting
Regina Menza collaborates with health care leadership on data-driven strategic decisions that will create a differentiated health care product and identifies growth opportunities by incorporating national trends and data analytics.

William Ringwood    
William Ringwood

Senior Director, Sg2 Consulting
Bill Ringwood specializes in financial planning and forecasting for value-based care, physician alignment, managed care contracting and payer strategy initiatives.