CMS’s 2024 results show that ACO REACH generated nearly $1 billion in net savings while improving quality and supporting better coordinated care for 2.5 million Medicare beneficiaries. This issue brief highlights the model’s growing financial performance, strong results for High Needs ACOs, and continued progress on key measures of patient care.

This bill creates a permanent ACO option for organizations that want to participate in “full risk.” This program would operate as an additional option alongside the Medicare Shared Savings Program, expanding opportunities to participate in two-sided risk.

Medicare spending on skin substitutes has grown sevenfold since 2022 – a systemic surge driven by thousands of providers nationwide, not a handful of outliers. This is not a small group of bad actors. The number of high-spend physicians has multiplied across the country.