Provider Attribution Example - CMS Model ACO REACH
7/1/2021
7/1/2022
7/1/2023
1/1/2023
12/31/2023
Patient visits Jan 2022 Allowed Amount: $100
Visits to Provider A
Visits to Provider B
Patient visits Mar 2022 Allowed Amount: $120
Patient visits Feb 2023 Allowed Amount: $80
Weighted allowed provider A: 0.33 * 100 + 0.66 * 80 = $85.80
Weighted allowed provider B: 0.33 * 120 = $39.60
Provider A has more allowed dollars and therefore get's attribution for 2023.