The Hidden Complexity of Moving from ACO Programs to Medicare Advantage

As the ACO REACH program approaches its sunset and many organizations reassess their long-term participation in the Medicare Shared Savings Program (MSSP), provider groups across the country are evaluating their next step in value-based care. For many, Medicare Advantage (MA) appears to be the natural next stage.

At first glance, the transition seems straightforward. Organizations that have succeeded in MSSP or ACO REACH have already built many of the capabilities required to manage population health: controlling total cost of care,
managing high-risk populations, and performing against quality measures.

But Medicare Advantage introduces a level of operational complexity that many organizations underestimate.

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