In Support of the CMMI ACO REACH Model Delivering Primary Care to Seniors On Medicare in Underserved Communities

Adopted at the 90th Annual Meeting in 2022

  • WHEREAS, bridging and healing historic health inequities throughout the United States is a priority of Mayors across the country; and

    WHEREAS, the Biden administration has also put health equity at the center of its work and has set a goal of having every Medicare beneficiary in an accountable care relationship by 2030; and

    WHEREAS, the Centers for Medicare and Medicaid Innovation (CMMI) were created by the Affordable Care Act to develop new ways of delivering care to Americans; and

    WHEREAS, the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model administered by CMMI is set to serve 1.8 million Medicare beneficiaries in 2022 building on its 2021 population across more than 200 American cities with populations over 30,000; and

    WHEREAS, ACO REACH will enable CMS to test an ACO model driving towards three critical goals supported by Mayors including advancing health equity to bring the benefits of accountable care to underserved communities, promoting provider leadership and governance, and protecting beneficiaries and the model with more participant vetting, monitoring and greater transparency; and

    WHEREAS, mayors are on the front lines of the continuing crisis health disparities inflict on their cities and ACO REACH is one way primary care providers are being incentivized to offer care in neighborhoods that long have been without it; and

    NOW, THEREFORE, BE IT RESOLVED, that The United States Conference of Mayors urges Congress and the Biden administration to continue to support the CMMI ACO REACH model in its quest to test, for the first time, if value-based structures can work in the public, traditional Medicare program; and

    BE IT FURTHER RESOLVED, that The United States Conference of Mayors supports this important test of incentivizing high quality, valued-based Medicare primary care in order to accelerate its establishment in underserved neighborhoods across America where, many times, such care was not previously available.

      View all Resolutions