For Patients & Families

What is the ACO REACH Model?

The Model helps Medicare members with serious, chronic illnesses:

Receive Care
in Their Home

Improve Health

Manage Their

What does the ACO REACH Model provide?

  • Visits from your primary care provider (PCP) in your home, by video, or in office
  • Phone check-ins from your PCP
  • In-home, video or phone visits with a nurse or social worker when needed
  • Help coordinating additional care and case management
  • Person and family-focused care
  • Review of your care goals and your advance care plans
  • Symptom care with phone advice for urgent needs day and night

Is this program for me or my loved one?

Yes, if you or your loved one: 

  • Have primary insurance with Medicare Parts A and B
  • Choose Advanced Illness Partners as your primary care provider 
  • Are eligible for the program by: 
    • Having significant chronic illnesses that have led you to seek a high level of medical care and/or
    • Having a need for special equipment in the home like a lift apparatus, a hospital bed, bed side rails, safety equipment, or a variety of other durable medical equipment (DME) types and/or
    • Having an illness that limits you from leaving your home such as mobility impairments, neurological conditions, spinal cord injuries, muscular dystrophy, or other conditions; and/or
    • Having been in the hospital at least once or more in the past year.