HarmonyCares ACO Achieves Second-Best Savings Rate in ACO REACH Program

HarmonyCares ACO LLC, headquartered in Troy, Michigan, has garnered recognition as the second-best performing participant in the ACO REACH program, as disclosed by the Centers for Medicare & Medicaid Services (CMS). In 2024, the company achieved a commendable net savings rate of 25.8% in the High Needs Track of ACO REACH, ensuring high-quality care for Medicare's most at-risk patient groups. Among 115 participating accountable care organizations (ACOs), HarmonyCares showcased a robust alignment of quality and cost-effectiveness, addressing the needs of some of the highest-need, highest-cost patient demographics.

HarmonyCares is dedicated to delivering in-home primary care for individuals with multiple chronic conditions or other significant healthcare needs that limit their ability to seek conventional medical care. With an emphasis on proactive care, the organization aims to reduce reliance on emergency services and hospitalizations by addressing patient needs within the comfort of their homes. Operating under both traditional Medicare and Medicare Advantage plans, HarmonyCares targets Medicare's most complex and costly patient populations.

Matt Chance, CEO of HarmonyCares, stated, "These results confirm our patient-centered approach, demonstrating that quality in-home care can lead to improved outcomes and cost savings for complex patient populations without compromising care standards."

Financial Performance and Future Outlook

Within ACO REACH's "High Needs" cohort—comprising 14 ACOs tailored to serve medically complex patients—HarmonyCares ranked second in savings rate, alongside high-quality care metrics. The ACO REACH model, initiated by CMS's Innovation Center, allows participants to take on financial risk in managing spending and care quality for specified populations, sharing in the savings if benchmarks are met. In 2024, the model generated $2.5 billion in gross savings, with nearly $1 billion returned to Medicare, covering 2.5 million beneficiaries.

The ACO REACH initiative is set to conclude in 2026, paving the way for CMS's new LEAD Model in 2027. This upcoming framework will integrate High Needs policies for all qualifying beneficiaries within ACOs, continuing the focus on complex Medicare patient care. Chance expressed confidence in the ongoing commitment to enhancing their care delivery infrastructure and expanding reach among the highest-need patient groups.

HarmonyCares operates across 12 states, employing over 200 primary care providers under a team-based, integrated model that prioritizes patient-centered care. Additional details about their services can be found on their official website.