On May 5, 2022, Caravan Health Founder and Signify Chief Innovation Officer, Lynn Barr, presented an informational webinar about the New Realizing Access, Equity, and Community Health (REACH) ACO opportunity for 2023. The webinar addressed the question of how safety net hospitals can succeed in a REACH ACO. Last month Signify Health, with the support of Caravan, submitted its REACH ACO application to further support safety net health systems in accountable care.

View the webinar recording here.

What is ACO REACH?: REACH was unveiled in February 2022 as a re-design of the Global and Professional tracks of the Direct Contracting model. ACO REACH highlights the voices of beneficiaries and providers and places more focus on reducing our nation’s health disparities.

For years, Caravan Health supported ACOs in the Shared Savings Program have excelled at the population health basics, shared governance with providers and beneficiaries successfully, and have earned impressive shared savings. Earlier this year, Caravan Health joined forces with Signify Health to help providers manage total cost of care. Together, Signify Health and Caravan Health support the largest network of at-risk providers.

Signify Health has a broad network of home and community-based services that deliver services to patients and provides a window into patient’s lives and the social factors that affect health outcomes. This combination of experience and capabilities will make a real difference when addressing challenging health inequities.


REACH will help safety net providers succeed in accountable care. ACO REACH is designed to better serve the underserved. Each REACH ACO must have a health equity plan approved by CMS showing how providers will address hard-to-reach patient populations. Safety net providers have been performing this work all along and this program rewards those efforts. REACH includes specific benefit flexibilities such as waived part B copays, home health and telehealth waivers, and concurrent care for hospice patients, that aid and strengthen patient relationships.

ACO REACH providers receive per member capitated payments which unlocks a more intensive service model for higher needs patients. Since this model provides 100% shared savings and losses, more of the accrued savings go back to the providers serving the underserved.


We have the tools to help you take on risk in REACH. With the experiences of Signify Health and Caravan Health, we can guide your practice to success in REACH. Our capabilities span the range of care delivery, from primary and specialty care to inpatient, post-acute, and home-based services. Our practice specialists are especially skilled with managing care transitions. The transition to home is key; in-home providers gain important information about social needs supports that can make a difference in reducing health disparities.


Speak with an ACO expert. Signify, together with the capabilities and experience of Caravan Health, has the largest value-based clinical network in the country and is in a great position to thrive in a REACH ACO. Contact us today to learn more about Signify and Caravan’s approach to REACH and the Shared Savings Program.

Recent Resources

CMS Actions in Response to the COVID-19 Public Health Emergency

The Centers for Medicare and Medicaid Services just issued a lengthy set of policy changes to address the growing COVID-19 public health emergency (PHE). These changes will help hospitals and health providers to respond to the crisis more quickly and safely, including many more options for telehealth in Medicare.

ACO, Policy, Webinars & Events, Quality, Value-Based Care, COVID-19

Stop Standing Still: How to Get Started in a High-Performing Caravan Health ACO

Tuesday, September 24 at 9:00am PT / 12:00pm ET

ACO, Webinars & Events

10 Reasons ACOs Can Fail

Just published in Becker’s Hospital Review – Caravan Health Senior Vice President Tim Gronniger discusses ten reasons Accountable Care Organizations can fail.

ACO, Blogs & News, Value-Based Care


NEWS: Signify Health Completes Acquisition of Caravan Health

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