June 16, 2024

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Updated with list: Majority of Next Generation ACOs earned shared savings

All but two of 39 accountable treatment companies reporting outcomes in the Following Era ACO model gained shared discounts fairly than owed cash, a figure the Countrywide Affiliation of ACOs touts as a results for price-dependent, capitated payments. 

Following Era is Medicare’s model of best hazard. NAACOS wants to see the 4-yr model made long lasting.

Collectively, Following Gen ACOs saved Medicare $559 million past yr, according to partial 2019 effectiveness info made accessible by the Facilities for Medicare and Medicaid Products and services.

WHY THIS Issues

ACOs are accountable for the cost and high quality of beneficiary treatment. They get paid the right to share with Medicare discounts produced if particular shelling out and high quality metrics are satisfied. 

ACOs hit an regular high quality rating of 93.7% out of a perfect rating of one hundred, improving treatment for one.two million seniors, according to NAACOS. 

Right after accounting for shared discounts paid to ACOs for holding down fees and hitting high quality targets as properly as shared losses and reductions paid to the governing administration, the Following Gen application netted $204 million to Medicare in 2019. By comparison, Following Gen ACOs saved Medicare $406 million in 2018 and netted $185 million just after shared discounts and losses.

THE Much larger Trend

Launched in 2016, and prolonged by a yr to stop at the stop of 2021, Following Gen builds off former innovation styles, these types of as Pioneer, which begun in 2012. CMS prolonged the application due to the COVID-19 pandemic.

ON THE History

“For every yr of the application, Following Gen ACOs yielded discounts for Medicare cash although also showing an improvement in high quality. Pretty few courses CMS has produced above the decades can say that,” explained Clif Gaus, president and CEO of the Countrywide Affiliation of ACOs. “NAACOS carries on to contact on CMS to make the Following Gen model a long lasting fixture in Medicare, either as a stand-alone application or an solution inside of the Shared Price savings Application.”
 

ACO Title Complete Aligned Beneficiaries Complete Benchmark Expenses Complete Genuine Expenses for Aligned Beneficiaries Earned Shared Price savings Payments/Owe Shared Losses
Steward Built-in Care Community, Inc. 116,246 $one,544,646,a hundred forty five $one,522,698,357 $17,207,066
ThedaCare ACO, LLC 15,874 $a hundred and forty four,559,315 $143,365,443 $935,996
Pioneer Valley Accountable Care, LLC forty four,201 $520,627,651 $514,213,418 $five,028,759
CHESS NEXTGEN LLC 29,367 $337,266,985 $327,680,918 $9,394,345
Accountable Care Coalition of Southeast Texas, Inc 17,389 $236,869,357 $219,148,172 $17,366,762
Trinity Wellness ACO, Inc. 77,901 $941,696,538 $910,594,340 $24,384,123
Henry Ford Doctors Accountable Care Firm, LLC 26,572 $359,326,038 $352,466,223 $five,378,095
Deaconess Care Integration, LLC 39,968 $439,346,234 $427,837,229 $9,023,060
Park Nicollet Clinic 14,229 $150,026,494 $147,574,093 $one,922,682
UnityPoint Accountable Care L.C. one hundred,200 $one,071,112,979 $one,016,449,896 $41,987,629
Doctor Partners LTD. 12,403 $122,716,225 $119,682,569 $two,378,386
Triad Healthcare Community, L.L.C. 28,801 $300,956,244 $291,697,913 $9,073,a hundred sixty five
Atrius Wellness, Inc. 39,354 $471,519,011 $452,676,439 $eighteen,465,721
HCP California, LLC thirty,217 $423,063,832 $435,448,822 ($9,907,993)
NW Momentum Wellness Partners ACO, LLC thirteen,787 $131,396,899 $129,738,056 $one,300,533
UT Southwestern Accountable Care Community 94,625 $one,239,092,055 $one,187,431,915 $50,626,938
Accountable Care Selections, LLC 10,952 $150,604,322 $149,668,641 $916,968
St. Luke’s Clinic Coordinated Care, LTD 32,489 $346,525,684 $317,278,019 $22,930,169
ProHealth Methods, LLC 15,809 $163,214,109 $158,499,385 $three,696,343
Indiana University Wellness sixty three,692 $753,934,320 $711,353,369 $29,554,225
Carilion Clinic Medicare Shared Price savings Organization, LLC 52,775 $536,490,623 $510,506,034 $20,371,918
Arizona Care Community, LLC 35,751 $399,075,814 $397,495,209 $one,239,195
APA ACO, Inc. thirty,740 $504,936,872 $467,646,269 $19,793,525
UNC Senior Alliance, LLC thirty,357 $316,423,039 $301,828,764 $14,302,389
UW Wellness ACO, Inc. 27,498 $267,722,517 $256,244,488 $eight,998,775
Reliant Health-related Team, Inc 10,851 $140,684,947 $130,546,703 $9,935,480
Reliance Following Gen ACO, LLC 12,668 $169,196,334 $158,615,389 $eight,295,461
Main Care Alliance thirteen,011 $163,293,662 $142,200,984 $20,670,824
Revere Wellness 15,399 $176,343,855 $171,698,950 $three,641,606
CoxHealth Accountable Care, LLC 19,531 $183,521,482 $184,852,277 ($one,064,636)
Franciscan Missionaries of Our Girl Wellness Method Clinical Community, LLC twenty five,270 $280,978,730 $260,736,786 $16,521,549
CareMount ACO 24,664 $305,582,388 $291,043,463 $11,398,517
Primaria ACO, LLC 28,656 $336,591,843 $313,302,980 $22,823,085
Best Care Collaborative 14,795 $176,349,676 $168,947,631 $7,254,004
Accountable Care Coalition of Tennessee, LLC 22,489 $221,941,879 $205,764,102 $15,854,222
Torrance Memorial Built-in Doctors, LLC 12,139 $171,013,621 $160,358,836 $six,703,734
NEQCA Accountable Care, Inc 35,261 $506,768,205 $489,561,739 $thirteen,489,869

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