ACO REACH Performance
Performance Year 2025 · Global & Professional Direct Contracting · Report Period: Q1 2026
Financial Performance
Benchmark Total Cost
$142.8M
Actual Total Cost
$136.4M
Total Savings
$6.4M
↑ Favorable variance 4.5%
Shared Savings (Projected)
$3.2M
Payment Model & Alignment
Global REACH
Geographic Alignment
3,204
Beneficiaries assigned by zip
Voluntary Alignment
1,891
Beneficiaries voluntarily aligned
Total Aligned Beneficiaries
5,095
Participating Providers
87
Payment Model Type
Global REACH
PBPM vs Benchmark Trend
Actual PBPM
$2,235
Benchmark PBPM
$2,338
Variance
-$103
Quality Measures
CAHPS Survey Scores
Above Average
Overall Care Rating
Benchmark: ≥78%
84%
Getting Timely Care
Benchmark: ≥75%
81%
Provider Communication
Benchmark: ≥80%
79%
Care Coordination
Benchmark: ≥72%
88%
Additional Quality Measures
HCC Coding Completeness
Target: ≥95%
96.2%
Advance Care Planning Rate
Target: ≥40%
38.5%
All-Cause Readmission Rate
Target: ≤14%
12.1%
Preventive Screenings Compliance
Target: ≥80%
83.4%
Utilization Metrics
Inpatient Admissions / 1,000
Benchmark: 285
261
↓ 8.4% favorable
ER Visits / 1,000
Benchmark: 420
398
↓ 5.2% favorable
Specialist Referral Rate
Benchmark: 28%
30%
↑ 7.1% unfavorable
Preventable Hospitalizations
Target: ≤80/1k
74/1k
↓ 7.5% favorable
Quality Withhold Performance
On Track
TOTAL WITHHOLD EARNED
85%
of 2% quality withhold ($2.86M of $3.36M)
Total Withhold Amount
$3.36M
Earned Back
$2.86M
At Risk (2 measures below threshold)
$0.50M