Better Care Close to Home

    What It Means When Your Doctor is Part of Commonwealth Primary Care ACO and Medicare’s ACO REACH Program

    At Commonwealth Primary Care ACO, your health and well-being come first. By participating in Medicare’s ACO REACH (Realizing Equity, Access, and Community Health) model, our primary care providers can offer you more support, better access to care, and a stronger focus on your unique needs.

     

    Why This Matters for You

    Enhanced Benefits Designed for You

    As part of Medicare’s ACO REACH program, Commonwealth Primary Care ACO offers exclusive Beneficiary Enhancements (BEs)—special waivers approved by Medicare to reduce barriers and improve your access to care. These enhancements go beyond traditional Medicare, giving you more flexibility and support when you need it most.

    Here’s how you may benefit:

      • Skilled Nursing Facility (SNF) Waiver – No 3-Day Hospital Stay Required
        Normally, Medicare requires a three-day hospital stay before covering a skilled nursing facility admission. With this waiver, you may be eligible for SNF care without a hospital stay if your care team decides it’s right for you—helping you get the care you need sooner.
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      • Concurrent Care While in Hospice
        If you choose hospice care, you don’t have to give up treatments aimed at improving your condition. You may be eligible to receive both hospice services and curative treatments at the same time, ensuring comfort and hope can go hand in hand.

      • Home Health Without the “Homebound” Requirement
        Traditional Medicare requires patients to be considered “homebound” to receive home health services. With this waiver, you may still be eligible for in-home care even if you are not homebound—making it easier to recover safely in the comfort of your own space.

    These enhancements are only available through providers participating in ACO REACH—and they reflect our commitment to giving you more choices, fewer delays, and care that fits your life.

    By choosing a Commonwealth Primary Care ACO provider, you’re gaining access to these unique benefits—because we believe great care should be flexible, compassionate, and designed around you.

    Better Coordination Between Your Providers

    We work as a team behind the scenes—your doctors, specialists, and other care providers communicate more effectively to:

      • Avoid duplicate tests

      • Prevent conflicting treatments

      • Make your care simpler and safer

      • Chronic Care Program – Ongoing support for patients with long-term health conditions, helping you manage your care plan, stay on track with medications, and prevent complications.

      • Transitional Care Program – Extra guidance and follow-up when moving from the hospital back home, ensuring a smooth recovery and reducing the chance of readmission.

    More Convenient Access

    Need care at home? Transportation help? Community resources?
    ACO REACH encourages care where it’s most convenient for you—including in your home or through virtual visits.

    A Strong Focus on Equity

    Everyone deserves quality care. ACO REACH is designed to close the gap for undeserved communities and address factors like housing, food access, and other social needs that affect health.

    Flexibility Through Waivers

    Our ACO may receive permission to offer special services or care options—giving your provider more tools to help you stay healthy.

    Your Choice Matters

    You can voluntarily align with your primary care provider through ACO REACH. This gives you:

    • A stronger relationship with your provider

    • More control over your care

    Incentivized High-Quality Care

    Providers are rewarded for helping you stay healthy—not for how many services they deliver. That means they’re focused on what truly benefits you.

     

    Your Rights and Choices

    • You Always Choose Your Doctor: Even if your provider is part of an ACO, you can still see any doctor or specialist who accepts Medicare.

    • Privacy and Data Sharing: You can opt out of sharing your data with the ACO at any time while still receiving care.

    • Annual Notification: Each year, Medicare will let you know if your doctor is participating in an ACO. Nothing about your Medicare benefits changes.

     

    In Summary

    Being part of Commonwealth Primary Care ACO and the ACO REACH model means your provider is focused on giving you more personalized, coordinated, and equitable care—while you keep full control of your Medicare choices.

    Have questions? [Contact us: 480-296-1276] or [Learn more about ACO REACH on Medicare.gov].