An Update on the Retrospective Trend Adjustment in Direct Contracting and ACO REACH

One of the more contentious topics in the Center for Medicaid and Medicare Services Innovation Center's (CMMI) Direct Contracting and ACO REACH programs has been the Retrospective Trend Adjustment (RTA). This Wakely brief builds on a prior Wakely whitepaper to provide an update on current estimates around what program participants should anticipate for RTAs in 2022, as well as what to expect heading into 2023