Accountable Care Organization Realizing Equity, Access, and Community Health
Beginning on January 1, 2023, Revere Health transitioned from the Global and Professional Direct Contracting Model (GPDC) to the ACO REACH model. Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) Model. The Centers for Medicare & Medicaid Services (CMS) renamed the GPDC model to better align the name of the program with the purpose of the model: to improve the quality of care for people with Medicare through better care coordination.
The ACO REACH MODEL is comprised of doctors and healthcare providers who have come together voluntarily to provide coordinated, high-quality care at lower costs to their Original Medicare patients. ACO REACH participants are patient-centered organizations where the patient and providers are true partners in care decisions. Participating patients will see no change in their Original Medicare benefits and will keep their freedom to see any Medicare provider.
Included in the ACO REACH MODEL are strong patient protections to ensure that patients have access to and receive high-quality care. Like other Medicare ACO initiatives, this Model will be evaluated on its ability to deliver better care for individuals, better health for populations, and lower growth in expenditures.
All members of Revere Health will work together to see that you get the right care at the right time. We will protect your medical records and privacy. We will work to reduce duplicate tests and duplicate paperwork. We will help everyone work smarter to give you better care. We will coordinate your care according to your medical needs and choices.
If you have general questions or would like more information about accountable care organizations, please call 1-800-MEDICARE (1-800-633-4227; TTY users should call 1-877-486-2048).
ACO REACH Name and Location
Central Utah Clinic, P.C. DBA Revere Health
1055 North 500 West Administration Building B
Provo, Utah 84604
ACO REACH Primary Contact
Ben Scheffner
Benjamin.scheffner@reverehealth.com
(385) 203-2772
Revere Health ACO REACH Governing Board
Curtis Carter, MD
Edward Prince, MD
Garry Miller, DO
Heather Harrison, DO
Justin Jones, MD
Marc Nuttall, MD
Matt Armstrong, MD
Richard Jackson Jr. MD
Scott Bingham, MD
Shane Frazier, DO
Steve Wallentine, MD
Todd Hamilton, MD
Jeffrey Johnson, MD – Consumer Advocate/Medicare Beneficiary Rep
John Staheli, MD – Finance Committee Chair
Marie Prothero, PhD, RN, FACHE, Community Board Member/Consumer Advocate
– Brigham Young University, Assistant Professor in the Nursing School
Revere Health ACO REACH Committees and Key Leadership Personnel
Troy Lunceford, MD – Committee Chair
Aaron Starbuck, MD – Committee Member
Brad Huber, MD – Committee Member
Casey Owens, MD – Committed Member
David Kimball, DO – Committee Member
Heather Harrison, DO – Committee Member
Todd Hamilton, MD – Committee Member
Garry Miller, DO – Committee Member
Medicare Beneficiary Representative
Jeffrey Johnson, MD
Community Board Member/Consumer Advocate
Marie Prothero, PhD, RN, FACHE
ACO REACH Model Participants
All participants included on our participants’ list are employed by Revere Health. You may download the list of our participants here.
*All clinical leaders, administrative leaders, and Governing Body members listed here are employed directly by Central Utah Clinic, P.C. DBA Revere Health. Exceptions to this only include our Community Board Member/Consumer Advocate Marie Prothero (employed by Brigham Young University) and our Medicare Beneficiary Representative Jeffrey Johnson.
Canyon View ACO REACH Model Participants
All participants included on our participants’ list are employed by Canyon View Medical. You may download the list of our participants here.
*All members listed here are employed directly by Canyon View Medical
ACO REACH Model Preferred Providers
- Aspen Ridge Home Health & Hospice (AHC Home Health Care of Murray, LLC)
- Aspen Ridge West (AHC of Murray II LLC)
- Aspen Ridge of Utah Valley (AHC of Orem, LLC)
- Advanced Health Care of Salem (AHC of Salem, LLC)
- AHC Home Health of St George, LLC
- AHC of St. George, LLC
- Southern Utah Veterans Home – Ivins (Avalon Care Center – VA Ivins, LLC)
- Dixie Home Rehab (Dixie Home Rehab LLC)
- Dixie Hospice Care (Dixie Hospice Care, LLC)
- Encompass Health Home Health of Southern Utah – SG (Encompass Home Health of the West LLC)
- Encompass Home Health Murray (Encompass Home Health of the West LLC)
- Encompass Home Health Orem (Encompass Home Health of the West LLC)
- Encompass Home Health St George (Encompass Home Health of the West LLC)
- Encompass Hospice Murray (Encompass Home Health of the West LLC)
- Encompass Hospice Orem (Encompass Home Health of the West LLC)
- A Plus Home Care and Hospice (Erza Healthcare)
- Harmony Home Health & Hospice (Harmony Home Health Services, LLC)
- Valeo Home Health – Salt Lake City (Valeo Home Healthcare Services, LLC)
- Valeo Hospice LLC – Salt Lake City (Valeo Home Healthcare Services, LLC)
- Stonehenge of Orem (Stonehenge of Orem LLC)
- Stonehenge of American Fork (Kane County Human Resource Special Service District)
- Stonehenge of SpringvilleUT Inc (Kane County Human Resource Special Service District)
- Coral Desert Rehabilitation (Red Cliffs Healthcare LLC)
- Zion’s Way Home Health & Hospice – Home Health and Hospice (Red Rock Healthcare, Inc.)
- Community Nursing Services Home Health & Hospice – Provo and St. George
- First Choice Home Health & Hospice
- Icare Home Health & Hospice (Icare Home Health & Hospice LLC)
- Millard County Care & Rehabilitation, INC
- Utah Valley Specialty Hospital – LTAC
- Sun Tree Home Health, LLC
- Sun Tree Hospice, LLC
- Tender Care Home Health & Hospice – West Valley City (Unified Health Services, LLC)
- Utah Home Health & Hospice – Orem (Utah Home Health & Hospice, LLC)
- Lone Peak Dialysis – Davita (American Fork Dialysisi LLC)
- MT Nebo Dialysis – Davita (Wakonda Dialysis LLC)
- Traverse Point Dialysis – Davita (Pomme Dialysis LLC)
- Orem Dialysis – Davita (Hegan Dialysis LLC)
- Utah Valley Dialysis Center – Davita (Total Renal Care, Inc.)
ACO REACH Model Joint Ventures Among the ACO Participants
Skilled Nursing Facility: Advance Healthcare of Salem
In an effort to improve coordination of care and create programs that will result in achieving Revere Health’s “Your Health Above All Else” experience, while improving care for the Medicare Fee-For-Service beneficiaries we serve, better health for the populations we care for and doing so in a financially sustainable manner, Revere Health and its participating providers, working in collaboration with RH, formed the joint venture, Advance Healthcare of Salem.
Shared Savings and Shared Losses Information
Shared Savings And Losses — $7,441,329.90
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 80%
ACO REACH’s Performance on the Quality Measures
Quality Measures will be updated end of the performance year – 2023.
ACO REACH Participation Waiver Disclosures
The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that otherwise limit innovation by REACH’s participating in the Accountable Care Organization (ACO) – REACH Model (see HHS, Notice of Amended Waivers of Certain Fraud and Abuse Laws in Connection with the ACO – REACH Model, published December 29, 2016). Pursuant to that notice, Revere Health seeks protection under the ACO REACH Participation Waiver for the following arrangements set forth below.