.svg "CVS Accountable Care ®"){kind=logo}
CMS Reporting
Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH)
Notice: CVS Accountable Care Termination from ACO REACH program
CVS Accountable Care voluntarily terminated its participation in the ACO REACH program, effective March 31, 2025. Comprehensive plans are in place to support beneficiaries and participating and preferred providers.
ACO Name and Location
CVS Accountable Care Organization, Inc.
233 Spring Street
12th Floor
New York, NY 10013
ACO Primary Contact
| Primary Contact | CVS Accountable Care, Inc. |
| Primary Contact Phone Number | 866-204-2273 |
Leadership
CVS ACO REACH
Key clinical and administrative leaders (all employed by CVS Accountable Care Organization, Inc.)
|
Name |
Position |
|
Andrew Lenarz |
LD Director |
Clinical Leadership
CVS Accountable Care voluntarily exited the ACO REACH Model effective March 31, 2025.
ACO REACH governing body
CVS Accountable Care voluntarily exited the ACO REACH Model effective March 31, 2025.
Identification of all CVS ACO Providers
Identification of all joint ventures between or among the CVS ACO and any of its Participant Providers: No joint ventures
Shared Savings and Losses
Performance Year 2024 - ACO Realizing Equity, Access, and Community Health (REACH) Model
| Shared Savings: | $ (69,460,826) |
| Proportion invested in infrastructure: | N/A |
| Proportion invested in redesigned care processes/resources: | N/A |
| Proportion of distribution to providers: | N/A |
Performance Year 2023 - ACO Realizing Equity, Access, and Community Health (REACH) Model
| Shared Savings: | $ (8,967,823) |
| Proportion invested in infrastructure: | N/A |
| Proportion invested in redesigned care processes/resources: | N/A |
| Proportion of distribution to providers: | N/A |
Performance Year 2022 - GPDC (Global and Professional Direct Contracting model)
| Gross Savings | $627,688 |
| DCE Shared Savings | $307,567 |
| Shared Savings Distributed to Providers | 21% |
| Shared Savings Invested | 79% |
Performance on quality measures
Performance Year 2024 - ACO Realizing Equity, Access, and Community Health (REACH) Model
| Risk-Standardized, All-Condition Readmissions (ACR) Score | 15.18 | |
| Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) Score: | 33.87 | |
| Timely Follow-Up After Acute Exacerbations of Chronic Conditions: | 77.06% | |
| CAHPS Patient Experience Surveys: | ||
| Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM): | 85.81% | |
| How Well Providers Communicate SSM: | 95.64% | |
| Care Coordination SSM: | 89.57% | |
| Shared Decision-Making SSM: | 62.11% | |
| Patient Rating of Provider SSM: |
94.39% |
|
| Courteous and Helpful Office Staff SSM: |
94.35% |
|
| Health Promotion and Education SSM: |
68.80% |
|
| Stewardship of Patient Resources SSM: |
29.00% |
|
Performance Year 2023 - ACO Realizing Equity, Access, and Community Health (REACH) Model
| Risk-Standardized, All-Condition Readmissions (ACR) Score | 15.27 |
| Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) Score | 34.91 |
| Timely Follow-Up After Acute Exacerbations of Chronic Conditions | 72.85 |
| CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM) | 81.36 |
| CAHPS: How Well Providers Communicate SSM | 93.78 |
| CAHPS: Care Coordination SSM |
86.68 |
| CAHPS: Shared Decision-Making SSM | 69.41 |
| CAHPS: Patient Rating of Provider SSM | 92.14 |
| CAHPS: Courteous and Helpful Office Staff SSM |
92.49 |
| CAHPS: Health Promotion and Education SSM |
67.79 |
| CAHPS: Stewardship of Patient Resources SSM |
27.79 |
Performance Year 2022 - GPDC (Global and Professional Direct Contracting model)
| Risk-Standardized, All-Condition Readmissions (ACR) Score | 19.86 |
| Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) Score | 74.18 |
| Days at Home for Patients with Complex, Chronic Conditions (DAH) Score | 312.70 |
| CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM) | 33.79 |
| CAHPS: How Well Providers Communicate SSM | 64.29 |
| CAHPS: Care Coordination SSM |
54.45 |
| CAHPS: Shared Decision-Making SSM | 70.39 |
| CAHPS: Patient Rating of Provider SSM | 47.96 |
| CAHPS: Courteous and Helpful Office Staff SSM |
58.05 |
| CAHPS: Health Promotion and Education SSM |
59.51 |
| CAHPS: Stewardship of Patient Resources SSM |
21.80 |