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The aco reach model encourages health care providers — including primary and specialty care doctors, hospitals, and others — to come together to form an accountable care organization, or aco. In acos, physicians and other health care providers join together to take responsibility for the quality of care their patients receive and the total costs of that care. Accountable care organizations and medicare advantage accountable care organizations are not the same as medicare advantage plans

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Here are some key diferences: The purpose of the aco reach model is to encourage health care providers to coordinate care to improve health outcomes for people with medicare, especially those from underserved communities. Any aco participant, as identified by the taxpayer identification number (tin), that has a specialty used in assignment (reference 42 cfr 425.402), and bills medicare for primary care services must be exclusive to a single shared savings program aco.