Updated with list: Majority of Next Generation ACOs earned shared savings
All but two of 39 accountable care organizations reporting results in the Up coming Generation ACO model acquired shared savings alternatively than owed money, a determine the Countrywide Association of ACOs touts as a achievement for worth-primarily based, capitated payments.
Up coming Generation is Medicare’s model of biggest danger. NAACOS wants to see the four-12 months model designed permanent.
Collectively, Up coming Gen ACOs saved Medicare $559 million final 12 months, according to partial 2019 overall performance info designed obtainable by the Centers for Medicare and Medicaid Products and services.
WHY THIS Issues
ACOs are accountable for the price and high quality of beneficiary care. They receive the suitable to share with Medicare savings produced if specified investing and high quality metrics are achieved.
ACOs strike an regular high quality rating of 93.7% out of a fantastic rating of one hundred, improving upon care for one.2 million seniors, according to NAACOS.
After accounting for shared savings compensated to ACOs for keeping down prices and hitting high quality targets as perfectly as shared losses and special discounts compensated to the authorities, the Up coming Gen application netted $204 million to Medicare in 2019. By comparison, Up coming Gen ACOs saved Medicare $406 million in 2018 and netted $185 million right after shared savings and losses.
THE Larger sized Pattern
Introduced in 2016, and prolonged by a 12 months to conclude at the conclude of 2021, Up coming Gen builds off former innovation styles, such as Pioneer, which started in 2012. CMS prolonged the application due to the COVID-19 pandemic.
ON THE Report
“For every single 12 months of the application, Up coming Gen ACOs yielded savings for Medicare money whilst also exhibiting an advancement in high quality. Extremely handful of plans CMS has produced above the years can say that,” stated Clif Gaus, president and CEO of the Countrywide Association of ACOs. “NAACOS continues to contact on CMS to make the Up coming Gen model a permanent fixture in Medicare, either as a stand-alone application or an option inside the Shared Personal savings Program.”
| ACO Identify | Overall Aligned Beneficiaries | Overall Benchmark Expenses | Overall Precise Expenses for Aligned Beneficiaries | Acquired Shared Personal savings Payments/Owe Shared Losses |
|---|---|---|---|---|
| Steward Integrated Treatment Community, Inc. | 116,246 | $one,544,646,a hundred forty five | $one,522,698,357 | $17,207,066 |
| ThedaCare ACO, LLC | 15,874 | $144,559,315 | $143,365,443 | $935,996 |
| Pioneer Valley Accountable Treatment, LLC | 44,201 | $520,627,651 | $514,213,418 | $5,028,759 |
| CHESS NEXTGEN LLC | 29,367 | $337,266,985 | $327,680,918 | $9,394,345 |
| Accountable Treatment Coalition of Southeast Texas, Inc | 17,389 | $236,869,357 | $219,148,172 | $17,366,762 |
| Trinity Well being ACO, Inc. | 77,901 | $941,696,538 | $910,594,340 | $24,384,123 |
| Henry Ford Physicians Accountable Treatment Corporation, LLC | 26,572 | $359,326,038 | $352,466,223 | $5,378,095 |
| Deaconess Treatment Integration, LLC | 39,968 | $439,346,234 | $427,837,229 | $9,023,060 |
| Park Nicollet Clinic | 14,229 | $a hundred and fifty,026,494 | $147,574,093 | $one,922,682 |
| UnityPoint Accountable Treatment L.C. | one hundred,two hundred | $one,071,112,979 | $one,016,449,896 | $forty one,987,629 |
| Medical professional Companions LTD. | twelve,403 | $122,716,225 | $119,682,569 | $2,378,386 |
| Triad Healthcare Community, L.L.C. | 28,801 | $300,956,244 | $291,697,913 | $9,073,165 |
| Atrius Well being, Inc. | 39,354 | $471,519,011 | $452,676,439 | $18,465,721 |
| HCP California, LLC | 30,217 | $423,063,832 | $435,448,822 | ($9,907,993) |
| NW Momentum Well being Companions ACO, LLC | 13,787 | $131,396,899 | $129,738,056 | $one,300,533 |
| UT Southwestern Accountable Treatment Community | ninety four,625 | $one,239,092,055 | $one,187,431,915 | $fifty,626,938 |
| Accountable Treatment Solutions, LLC | ten,952 | $a hundred and fifty,604,322 | $149,668,641 | $916,968 |
| St. Luke’s Clinic Coordinated Treatment, LTD | 32,489 | $346,525,684 | $317,278,019 | $22,930,169 |
| ProHealth Remedies, LLC | 15,809 | $163,214,109 | $158,499,385 | $3,696,343 |
| Indiana College Well being | sixty three,692 | $753,934,320 | $711,353,369 | $29,554,225 |
| Carilion Clinic Medicare Shared Personal savings Enterprise, LLC | 52,775 | $536,490,623 | $510,506,034 | $20,371,918 |
| Arizona Treatment Community, LLC | 35,751 | $399,075,814 | $397,495,209 | $one,239,195 |
| APA ACO, Inc. | 30,740 | $504,936,872 | $467,646,269 | $19,793,525 |
| UNC Senior Alliance, LLC | 30,357 | $316,423,039 | $301,828,764 | $14,302,389 |
| UW Well being ACO, Inc. | 27,498 | $267,722,517 | $256,244,488 | $eight,998,775 |
| Reliant Clinical Group, Inc | ten,851 | $one hundred forty,684,947 | $130,546,703 | $9,935,480 |
| Reliance Up coming Gen ACO, LLC | twelve,668 | $169,196,334 | $158,615,389 | $eight,295,461 |
| Major Treatment Alliance | 13,011 | $163,293,662 | $142,two hundred,984 | $20,670,824 |
| Revere Well being | 15,399 | $176,343,855 | $171,698,950 | $3,641,606 |
| CoxHealth Accountable Treatment, LLC | 19,531 | $183,521,482 | $184,852,277 | ($one,064,636) |
| Franciscan Missionaries of Our Woman Well being Technique Scientific Community, LLC | 25,270 | $280,978,730 | $260,736,786 | $16,521,549 |
| CareMount ACO | 24,664 | $305,582,388 | $291,043,463 | $eleven,398,517 |
| Primaria ACO, LLC | 28,656 | $336,591,843 | $313,302,980 | $22,823,085 |
| Greatest Treatment Collaborative | 14,795 | $176,349,676 | $168,947,631 | $7,254,004 |
| Accountable Treatment Coalition of Tennessee, LLC | 22,489 | $221,941,879 | $205,764,102 | $15,854,222 |
| Torrance Memorial Integrated Physicians, LLC | twelve,139 | $171,013,621 | $160,358,836 | $6,703,734 |
| NEQCA Accountable Treatment, Inc | 35,261 | $506,768,205 | $489,561,739 | $13,489,869 |
Twitter: @SusanJMorse
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