When an ACO demonstrates that it has achieved high-quality care and effectively reducing spending of health care dollars above certain thresholds, it is able to share in the savings generated for Medicare. In 2014, 20 Pioneer and 333 Shared Savings Program ACOs generated more than $411 million in savings, which includes all ACOs savings and losses. The results also show that ACOs with more experience in the program tend to perform better over time.
Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.
ACO Health Partners is one of the ACOs that generated shared savings.
“While shared savings is a benefit of reducing medical costs, our ultimate goal is to keep our physicians focused on delivering quality care at the appropriate time. By outsourcing our technology and services to trusted partners, we are able to leverage our data to develop timely clinical plans and deliver world-class care to the patient,” said Howard Buff, Board Member and CEO of ACO Health Partners.
For more detailed quality and financial results, click here.
Additional Resources
Visit the Medicare Shared Savings Program News and Updates webpage to access the HHS press release and fact sheet, the link to the Performance Year 2014 results file, and to learn more about the program.
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