There are 649 ACOs across the U.S., according to the National Association of ACOs, including Medicare ACO program participants and independent ACOs. Around 12.3 million Medicare beneficiaries — 20 percent of all Medicare beneficiaries — participate in an ACO.
CMS launched the Medicare Shared Savings Program in 2012 including three tracks to encourage voluntary participation in ACO programs. In 2018, the agency added the Track 1+ with lower risk than other ACO programs where the providers share in risk. The Next Generation ACO Model launched in 2016, requiring providers to take on greater financial risk with the potential for more shared savings.
Becker's developed this list to highlight ACOs across the country and examine the opportunities for improving quality care and care coordination. The editorial team accepted nominations for this list and conducted independent research.
For questions or comments on this list, contact Laura Dyrda at ldyrda@beckershealthcare.com.
Accountable Care Coalition of Southeast Wisconsin (Milwaukee). The Accountable Care Coalition of Southeast Wisconsin is a Medicare Shared Savings Program and Pioneer ACO Model participant. During the 2016 performance year, the ACO reported $7.8 million in shared savings, 37 percent of which was distributed to the ACO participants. Another 44 percent of the savings was reinvested in the ACO's infrastructure. During the ACO's 2015 performance year, the participants ranked in the top 4 percent of MSSP ACOs in terms of savings, generating $17 million in savings for Medicare.
Accountable Care Coalition of Texas (Houston). Accountable Care Coalition is a member of the National Association of ACOs and participated in the Medicare Shared Savings Program and Pioneer ACO Model. In the 2016 performance year, the Accountable Care Coalition of Texas reported $1.6 million in shared savings and distributed 25 percent of the savings to participants. Another 49 percent of the savings was reinvested into the program to redesign care processes and resources. For its first performance year in 2013, the ACO reported $9.4 million in shared savings.
Accountable Care Options (Boynton Beach, Fla.). Accountable Care Options is a physician-directed organization participating in the Medicare Shared Savings Program. With a primary care focus, the ACO offers participating providers 70 percent of the shared savings from Medicare. The ACO participates in the Next Generation ACO Model and reported $7.4 million in shared savings for the 2015 performance year.
Accountable Care Organization of Aurora (Milwaukee). Launched in 2018, Accountable Care Organization of Aurora serves parts of Illinois, Michigan and Wisconsin. Aurora Health Care launched the ACO in early 2018 before completing its merger with Advocate Health Care in April; the new entity is called Advocate Aurora Health. Accountable Care Organization of Aurora is part of the Medicare Shared Savings Program in Track 1, alongside Aurora's existing ACO, Aurora Accountable Care Organization.
ACO West Virginia (Morgantown). ACO West Virginia is an affiliate of WVU Medicine and participates in the Medicare Shared Savings Program. The ACO was accepted into the Track 1 MSSP beginning in January 2018, and WVU Medicine aims to include many of its 10 hospitals and five institutes, as well as physician practices, in the organization. The ACO also plans to affiliate closely with independent providers interested in collaborating with WVU on population health management.
Adena Healthcare Collaborative (Chillicothe, Ohio). Adena Healthcare Collaborative provides services within the Chillicothe-based Adena Health System, which includes three hospitals and 3,000 employees. The ACO participates in the Medicare Shared Savings Program Track 1 and is in the second year of its agreement period. For the 2016 performance year, the ACO reported $4.5 million in shared savings and distributed 64 percent of the savings to ACO participants. Overall, the ACO reported $9.4 million in savings for 2016 by covering a Medicare population of 9,012 people.
Advocate Physician Partners Accountable Care (Downers Grove, Ill.). Advocate Physician Partners Accountable Care is a Medicare Shared Savings Program participant that reported $28.9 million in shared savings for the 2016 performance year. That year, 50 percent of the shared savings was distributed to ACO participants and 48 percent went toward redesigning care processes and resources. The ACO realized $60.6 million in cost savings in 2016 overall, ranking No. 2 in most savings for the performance year. Advocate also reported high quality results among MSSP programs in 2016, serving around 139,000 assigned beneficiaries.
Adventist Health Accountable Care (Glendale, Calif.). Launched in January 2018, Adventist Health Accountable Care is a Medicare Shared Savings Program Track 1 participant serving Los Angeles County. The ACO includes Roseville, Calif.-based Adventist Health System, two hospitals and eight physician groups, as well as an imaging center.
Adventist Health System ACO (Maitland, Fla.). Adventist Health System (AHS) Accountable Care Organization is new to the scene. Launched in January 2018, the ACO participates in Track 1 of the Medicare Shared Savings Program. The ACO includes around 1,600 providers who partner with Florida Hospital hospitals throughout the Orlando, Daytona and Tampa areas. The physician-led ACO board includes 14 physicians, three Adventist Health System executives and a Medicare beneficiary, whose aim is to provide better patient care for Medicare beneficiaries statewide.
Aledade (Bethesda, Md.). Founded in 2014, Aledade has grown to include 300 partnering practices that cover more than 330,000 patients in 18 states. Focused on primary care providers, Aledade was co-founded by Farzad Mostashari, MD, Mat Kendall and Chief Technology Officer Edwin Miller, who together have decades of experience in healthcare and technology. Since its founding, the ACO has raised $55 million in funding and currently employs a staff of 180 experts in health policy, technology and transformation.
AllCare Health Alliance (Camden, N.J.). AllCare Health Alliance participates in Track 1 of the Medicare Shared Savings Program. The ACO brings together physicians and care teams to coordinate care for Medicare beneficiaries in South Jersey, providing 24/7 access and extended in-person hours to beneficiaries. Participants in the ACO include Cooper Physician Offices, Cooper Family Medicine and Cooper Primary Care at Pennsville (N.J.).
Amita Health Accountable Care Organization (Arlington Heights, Ill.). Amita Health Accountable Care Organization reported nearly $20.5 million in shared savings for the 2016 performance year and distributed 80 percent of the savings to ACO participants. For the 2016 performance year, the ACO ranked No. 4 in the nation among top quality scores for Medicare Shared Savings Program participants and No. 5 in shared savings. Amita Health coordinated care for around 27,000 Medicare beneficiaries in 2016 as part of the ACO and achieved a 99.53 percent quality rating.
AnewCare (Johnson City, Tenn.). AnewCare is a Medicare Shared Savings Program ACO serving patients in Tennessee. Ten participants compose the ACO, including Clintwood, Va.-based Dickenson Community Hospital — operating as a nonprofit critical access hospital owned by Norton (Va.) Community Hospital — and Johnson City-based Mountain States Health Alliance, which merged with Kingsport, Tenn.-based Wellmont Health System in February. During the 2016 performance year, the ACO reported $2.7 million in shared savings and distributed 35 percent to ACO participants. The ACO invested 35 percent of the savings in infrastructure, and 30 percent was devoted to care process and resource redesign.
Atlantic Accountable Care Organization (Morristown, N.J.). With more than 1,700 participating physicians affiliated with Morristown, N.J.-based Atlantic Health System, Atlantic ACO aims to reduce healthcare expenditure growth while improving care quality and coordination. The ACO includes five participating hospitals in New Jersey, and it achieved $16.7 million in shared savings for the 2015 performance year. The ACO distributed 70 percent of savings to participants.
Atrius Health (Newton, Mass.). Atrius Health's ACO participates in the 2018 Next Generation ACO Model and participated in the Pioneer ACO model in 2017. In 2016, the ACO ranked No. 1 in the nation for quality scores after completing its final year of the Pioneer ACO model. Atrius Health's Dedham (Mass.) Medical Associates, Quincy, Mass.-based Granite Medical Group and Boston-based Harvard Vanguard Medical Associates voluntarily participate in the model. In January 2018, the Massachusetts Health Policy Commission certified the ACO in the first round of 17 ACO certifications; Massachusetts is the first state to implement the statewide, all-payer standards for care delivery.
Arizona Care Network (Phoenix). Arizona Care Network is a group of 5,000 independent clinicians, including 1,100 primary care providers and 3,900 specialists, who take on risk for reimbursement based on the quality of their outcomes. The ACO collaborates with providers at Abrazo Community Health Network, San Francisco-based Dignity Health and Phoenix Children's Care Network. The ACO is also associated with 14 hospitals, more than 35 skilled nursing facilities, 86 imaging centers and 24 retail clinics with 1,250 locations overall. In the 2016 performance year, the ACO reported $5.8 million in shared savings as part of the Medicare Shared Savings Program.
Ascension Care Management (Nashville, Tenn.). Ascension Care Management serves around 1.3 million patients nationwide and manages 18,000 providers through its clinically integrated networks. The organization is a subsidiary of Ascension, a Catholic health system that includes around 153 hospitals and 2,600 sites of care. ACM aims to provide care coordination for members as well as population health management, claims management, risk management and ACO management for healthcare leaders.
Aurora Accountable Care Organization (Milwaukee). Aurora ACO comprises Milwaukee-based providers Aurora Health Care, a 15-hospital health system with more than 150 clinic locations, and Lakeshore Medical Clinic, an Aurora Health Care affiliate. It serves 7,500 beneficiaries. The ACO joined the Medicare Shared Savings Program in 2012 and became a Track 3 participant in 2017.
Banner Health Network (Mesa, Ariz.). The Banner Health Network includes 28-hospital system Banner Health and an extensive network of primary care and specialty physicians across Maricopa and Pinal counties in the Phoenix area. The ACO includes more than 5,000 providers and covers 400,000-plus beneficiaries. Banner Health Network is a Track 3 participant in the Medicare Shared Savings Program.
Banner Network Colorado (Greeley). More than 300 primary care physicians and specialists participate in Banner Network Colorado, an ACO serving patients in northern Colorado. The network includes hospitals, ASCs, physicians and related medical providers committed to deliver coordinated care. Around 60 percent of the participating providers are part of Banner Health, while the remaining 40 percent practice outside of the health system. In September 2017, the ACO entered a provider network agreement with Centennial, Colo.-based Centura Health to expand health services and coverage; on Jan. 1, BNC became part of Colorado Health Neighborhoods, Centura Health's clinically integrated network.
Baptist Physician Partners ACO (Jacksonville, Fla.). Jacksonville-based Baptist Health collaborated with UnitedHealthcare to develop Baptist Physician Partners ACO, serving UnitedHealthcare's Medicare plan beneficiaries in northeast Florida. The ACO provides value-based patient care, and both partners use data gathered to improve care delivery. The ACO is a Track 1 participant in the Medicare Shared Savings Program and includes eight provider groups focused on primary care and specialties such as cardiology and endocrinology.
Baylor Scott & White Quality Alliance (Dallas). Baylor Scott & White Quality Alliance joined the Medicare Shared Savings Program in 2015 and is a Track 1 participant. The ACO includes more than 6,000 primary and specialty physicians, 50 hospitals and 95-plus post-acute care facilities. Approximately 105,000 beneficiaries are covered under the MSSP ACO.
Beacon Health (Brewer, Maine). Beacon Health, a subsidiary of Brewer-based Eastern Maine Healthcare Systems, launched an ACO with Cigna in 2014. The ACO covers nearly 7,000 Cigna members and includes 600 primary care physicians and specialists. Cigna has similar ACO initiatives in 27 states that encompass 880,000 commercial customers and more than 35,000 physicians.
Beaumont Accountable Care Organization (Southfield, Mich.). Beaumont ACO is a voluntary partnership among physicians and Beaumont Health hospitals that gives the physicians an opportunity to share in cost savings from their efforts to improve patient care and outcomes. The ACO generated $22.5 million in gross savings for the 2017 performance year, which resulted in $9.8 million in net shared savings. For five consecutive years, Beaumont ACO has achieved significant cost savings and met the CMS financial and quality targets. In 2018, the ACO has been looking for opportunities to continue improving diabetic care, medication reconciliation post-discharge, and colorectal and breast cancer screening.
Bellin Health Partners (Green Bay, Wis.). Bellin Health Partners' Next Generation ACO includes more than 86 providers and covers beneficiaries in northeast Wisconsin and the Upper Peninsula of Michigan. Iron Mountain, Mich.-based Dickinson County Healthcare System and Manitowoc, Wis.-based Holy Family Memorial are also provider partners in the ACO, which is a participant in the Medicare Shared Savings Program. In performance year 2016, the organization reported $1.4 million in shared savings.
Beth Israel Deaconess Care Organization (Westwood, Mass.). Beth Israel Deaconess Care Organization joined the Medicare Shared Savings Program in January 2017 as a Track 3 participant. The Pioneer ACO includes more than 2,500 primary care physicians and eight hospitals. Beth Israel Deaconess Medical Center in Boston, the ACO's 673-bed flagship hospital, is affiliated with Boston-based Harvard Medical School.
Bethesda Health Quality Alliance (Boynton Beach, Fla.). Bethesda Health Quality Alliance is a full-service, clinically integrated physician-led network supported by Bethesda Health. The ACO includes physicians in all specialties and has a five- to six-member physician board. With 31 participants, the ACO is affiliated with specialists from group practices in cardiology, endocrinology and pulmonology. It provides access to care for more than 3,000 Bethesda employees and family members, allowing them to participate in shared savings agreements with payers.
BetterCARE Partners (Hagerstown, Md.). In the 2017 performance year, BetterCARE Partners served 10,257 beneficiaries across Maryland, Pennsylvania and West Virginia. Beginning on Jan. 1, 2017, the ACO became a Track 1 participant in the Medicare Shared Savings Program.
Billings (Mont.) Clinic. Billings Clinic is a physician-led integrated multispecialty group practice with a 304-bed hospital and level 2 trauma center. The Billings Clinic ACO launched in January 2014 and served 11,863 beneficiaries in the 2017 performance year. It participates in the Medicare Shared Savings Program as a Track 1 ACO. In 2016, the ACO reported a 94.4 percent quality score and a 2.4 percent savings rate.
BJC HealthCare ACO (St. Louis). The BJC HealthCare ACO launched in 2012 and was the first ACO in the St. Louis area. It comprises 13 hospitals, including the 1,158-bed Barnes-Jewish Hospital, 495-bed Missouri Baptist Medical Center and 285-bed Christian Hospital, both in St. Louis. The organization is a Track 1 participant in the Medicare Shared Savings Program and aims to provide more coordinated care to achieve better outcomes for participants.
Boston Accountable Care Organization. Boston Medical Center founded Boston ACO in 2018 in response to the state's request to partner with healthcare organizations interested in minimizing the cost of care for Massachusetts residents. The ACO is composed of 15 organizations, including seven community health centers, and covers 110,000 lives. Boston ACO is a participant in the Medicare Shared Savings Program.
Broward Guardian (Hollywood, Fla.). Broward Guardian is a primary care ACO aligned with Hollywood, Fla.-based Memorial Healthcare System, a six-hospital health system. The ACO's 44 participants provide care to Broward's South Florida Medicare population. As a Track 3 participant in the Medicare Shared Savings Program, Broward Guardian reported $3.1 million in shared savings for the 2016 performance year and distributed 65 percent of the savings to ACO participants.
Capital Health Accountable Care Organization (Trenton, N.J.). The two-hospital health system Capital Health developed its ACO to participate in the Medicare Shared Savings Program. The ACO is a Track 1 MSSP model and includes primary care provider groups as well as specialists. The health system also includes an outpatient facility, nine primary care practices and six subspecialty care groups.
CareMount ACO (Chappaqua, N.Y.). CareMount ACO, a Medicare Next Generation ACO and Medicare Advantage Advanced APM organization, was founded in 2018. The ACO has 560 participants and covers 25,500 Medicare Next Generation ACO members as well as 10,000 Medicare Advantage members. CareMount Medical, a multispecialty physician-owned medical group, manages the ACO. CareMount Medical began as a Track 1 participant in the Medicare Shared Savings Program in 2012 and advanced to the Next Generation ACO Model in 2018.
Carolinas HealthCare System ACO (Charlotte, N.C.). Carolinas HealthCare System, which became Atrium Health in February, developed Carolinas HealthCare System ACO as a private ACO program with BlueCross BlueShield of North Carolina. The ACO now participates in the Medicare Shared Savings Program as a Track 1 organization. With 40 hospitals and 900 care locations, the health system aims to improve coordinated care and allow medical professionals to communicate better on patient care through the ACO.
Central Virginia Accountable Care Collaborative (Lynchburg, Va.). Also known as Centra Alliance, the Central Virginia Accountable Care Collaborative is a physician-led ACO that includes both employed and independent physicians. The ACO has 14 participants clinically and financially aligned to deliver quality care. CVACC participates in the Medicare Shared Savings Program as a Track 1 ACO and has not yet completed its first reporting period.
Children's Hospital of Philadelphia. The Children's Hospital of Philadelphia ACO received accreditation from the National Committee for Quality Assurance as a Level 1 ACO in February 2013. At the time, CHOP was among the first five organizations nationally to be accredited by the NCQA and was the first children's hospital to receive the designation. The organization received accreditation as a Level 2 ACO in March 2015. Later that year, CHOP teamed up with Aetna to launch the insurer's first pediatric ACO.
Christus Health Quality Care Alliance (Irving, Texas). Nearly 120 providers belong to the Christus Health Quality Care Alliance, which covers around 27,000 lives in Texas. The organization joined the Medicare Shared Savings Program in January 2016 as a Track 1 participant. In February 2017, Christus Health partnered with Koan Health to provide healthcare analytics to support care coordination with predictive risk modeling and performance improvement information to the ACO.
Cleveland Clinic Medicare ACO. The Cleveland Clinic Medicare ACO, a Medicare Shared Savings Program ACO, manages a population of 105,000 beneficiaries. In 2018, it shifted to the Track 1+ payment model, which qualifies the ACO as an advanced payment model under MACRA and allows it to potentially earn an incentive payment under the Quality Payment Program. In 2016, the ACO generated $42.2 million in savings, which was a 24.5 percent increase from 2015. The ACO received $19.9 million back in shared savings for 2016.
Coastal Plains Network (Greenville, N.C.). Greenville-based Vidant Health formed Coastal Plains Network as a separate entity to become an ACO and initially participate in the Medicare Shared Savings Program. Provider participants in the program include Vidant Medical Group, Vidant's eight hospitals and East Carolina University Physician Plan. The ACO reported savings of $6.6 million for the 2015 reporting year.
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ColigoCare (Paramus, N.J.). ColigoCare is a physician-led clinically integrated network developed in partnership with Winchester, Va.-based Valley Health, which includes six hospitals with 604 inpatient beds. The ACO aims to foster cooperation between independent physicians and hospitals while removing the barriers to coordinated care. A Track 1 participant in the Medicare Shared Savings Program, ColigoCare includes 39 provider groups aiming to better coordinate care.
Collaborative Care of Florida (Orlando). Collaborative Care of Florida includes four participants: West Orange Physicians Group, Orlando Health, Orlando Physicians Network and Physician Associates. Collaborative Care of Florida joined the Medicare Shared Savings Program in 2013 and received nearly $2.7 million in savings for the 2015 performance year, distributing 40 percent to ACO participants.
CHESS (High Point, N.C.). CHESS is a physician-managed healthcare services company that has developed three ACOs over the past three years: the CHESS MSSP covering 23,407 lives, the CHESS NextGen ACO covering 29,196 lives and the CHESS Value ACO covering 6,307 lives. For the 2016 performance year, the CHESS MSSP ACO reported saving $6.1 million and achieved a 96.48 percent overall quality score. In February, CHESS added Hickory, N.C.-based Catawba Valley Medical Group and Winston-Salem, N.C.-based Wake Forest University Health Services to the CHESS NextGen ACO.
Dartmouth-Hitchcock (Lebanon, N.H.). To build upon its experience with the Pioneer ACO Model and Medicare Shared Savings Program, Dartmouth-Hitchcock Health is among the 45 organizations nationwide participating in the Next Generation ACO Model. Its participants include four clinics and 19 skilled nursing facilities, and 100 percent of the ACO's shared savings are invested in optimizing population health. Dartmouth-Hitchcock also partners with Fletcher Allen Health Care at the University of Vermont in Burlington to cover 42,000 Medicare beneficiaries through the primary and specialty care network. OneCare Vermont also participates in the Next Generation Model ACO.
Deaconess Care Integration (Evansville, Ind.). Deaconess Care Integration is a Next Generation Model ACO, building on success with previous ACO models. The ACO includes clinical care integration for neurosurgery, orthopedics, vascular surgery and more. For the Next Generation Performance Year 1, Deaconess Care Integration earned $5.7 million in shared savings. A portion of the shared savings is invested in infrastructure, redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs. Another portion is distributed to the ACO's participants and preferred providers.
Delaware Valley ACO (Villanova, Pa.). Delaware Valley ACO is owned by Berwyn, Pa.-based Main Line Health and Philadelphia-based Jefferson Health. It is part of the Medicare Shared Savings Program and includes 2,000-plus physicians and 90,000 Medicare fee-for-service beneficiaries. For the 2016 performance year, the ACO reported a 96 percent quality rating. Additionally, the ACO's 2017 collective score in the Merit-based Incentive Payment System was 93.95 percent, translating to a positive payment adjustment of 1.68 percent for its practices starting Jan. 1, 2019.
DMC ACO (Detroit). DMC ACO, previously known as Michigan Pioneer ACO, was one of the original 32 Pioneer ACOs and then moved to the Next Generation ACO Model. It comprises 250-plus primary care providers and covers around 13,000 attributed fee-for-service Medicare beneficiaries. It generated more than $55 million in gross savings over the Pioneer ACO model period from 2012-16, resulting in nearly $29 million in shared savings. In 2014, it was ranked the most successful Pioneer ACO for financial benchmark savings improvements in the nation.
DMH Health Network (Decatur, Ill.). DMH Health Network is an ACO affiliated with Decatur Memorial Hospital that aims to improve quality of care. There are 18 participants in the ACO, including the 300-bed Decatur Memorial Hospital, specialty physician practices, Surgical Specialists of Central Illinois and independent physicians. DMH Health Network is a Track 1 participant in the Medicare Shared Savings Program. While the ACO hasn't reported shared savings for the 2018 performance year, it plans to distribute 70 percent of any savings to ACO participants.
Einstein Care Partners (Philadelphia). Launched by Philadelphia-based Einstein Healthcare Network in June 2017, Einstein Care Partners includes physicians, hospitals and other providers. The ACO provides support for Einstein's network of caregivers, which includes more than 700 primary care physicians and specialists, as a population health service organization. The ACO is a Track 1 participant in the Medicare Shared Savings Program and serves around 12,000 Medicare beneficiaries. It has 60,000 total beneficiaries under population health payment contracts.
Essentia Health (Duluth, Minn.). The National Committee for Quality Assurance has certified Essentia Health as a Level 3 ACO for the past six years. It joined the Medicare Shared Savings Program in 2012 and currently covers 27,000 lives its Track 3 program. The ACO covers another 160,000 lives in total cost of care contracts with commercial carriers, Medicaid and private Medicare Advantage programs. Essentia Health is in the process of renewing its Track 3 MSSP contract for another three years. The ACO's quality scores increased from 88 percent in 2015 to 94 percent in 2016.
Franciscan ACO (Mishawaka, Ind.). Franciscan ACO, formerly Franciscan Alliance ACO, was the only ACO in Indiana to participate in Medicare's Pioneer ACO program in 2012. It left the program and joined the Medicare Shared Savings Program in 2015. The organization has expanded to include ACO partnerships with Medicare Advantage and commercially insured patient populations with a combined total average of 200,000 patient lives. Franciscan ACO includes nearly 800 providers and 72 nurse care coordinators and social workers.
Frederick (Md.) Integrated Healthcare Network. Frederick Integrated Healthcare Network is a physician-led ACO formed in partnership with Frederick Regional Health System in 2014. The ACO includes around 333 practicing physicians who aim to provide better-quality care at a lower cost. Frederick Integrated Health Network is a Track 1 participant in the Medicare Shared Savings Program, and for the 2015 performance year the ACO reported around $4.5 million in savings. Physicians who participate in the organization also receive assistance gathering quality data and engaging with payers.
Genesis HealthCare ACO (Kennett Square, Pa.). Genesis Healthcare is among the largest post-acute care providers in the U.S. with about 450 skilled nursing facilities and senior living centers in 29 states. Genesis HealthCare ACO was one of 434 ACOs that began participating in the Medicare Shared Savings Program Jan. 1, 2016. The ACO includes eight participants and managed about 14,000 Medicare fee-for-service beneficiaries in 2016.
Hackensack Meridian Health (Edison, N.J.). The HackensackAlliance ACO, JFK Health ACO and Meridian ACO are part of Hackensack Meridian Health, a 13-hospital health system that includes more than 200 sites of care. Each of the ACOs are physician-led and participate in the Medicare Shared Savings Program Track 1. In 2016, the HackensackAlliance ACO generated more than $50 million in shared savings and ranked No. 3 in the nation for total savings.
Hampton Roads Good Help ACO (Suffolk, Va.). Launched in January 2017, Hampton Roads Good Help ACO is a Track 1 Medicare Shared Savings Program ACO. The ACO is a partnership between Marriottsville, Md.-based Bon Secours Health System, Norfolk, Va.-based Bon Secours Hampton Roads Health System and three Virginia-based Bon Secours-affiliated hospitals. In the 2017 performance year, Hampton Roads Good Help ACO served 10,628 beneficiaries.
Hartford Healthcare Accountable Care Organization (Wethersfield, Conn.). Hartford Healthcare Accountable Care Organization is a Track 1 participant in the Medicare Shared Savings Program. The ACO launched with 17 ambulatory care facilities, and six more facilities joined in 2018. Four acute care hospitals also participate in the ACO, including Hartford Hospital, an 867-bed regional referral center with more than 1,280 active physicians and dentists on the medical staff.
Health Choice Preferred (Phoenix). Health Choice Preferred is a physician-led, nonexclusive ACO composed of accountable care networks in Utah and Arizona. The ACO employs more than 2,000 providers and includes more than 10 fully aligned hospitals. In 2017, Boston-based Steward Health Care Network acquired 50 percent of Health Choice Preferred as part of the $8 billion acquisition of Iasis Healthcare.
Healthcare Solutions Network (Cincinnati). Covington, Ky.-based St. Elizabeth Healthcare collaborated with Cincinnati-based TriHealth to form Healthcare Solutions Network, a clinically integrated care delivery network, in March 2014. The ACO includes physicians and hospitals of both health systems, offering 1,600-plus providers and 11 hospitals to serve patients in Ohio, Kentucky and Indiana. Healthcare Solutions Network is a Track 1 participant in the Medicare Shared Savings Program.
Healthy Communities ACO (Suffern, N.Y.). Healthy Communities ACO is a partnership between Valhalla, N.Y.-based WMCHealth Network and Richmond, Va.-based Bon Secours Medical Group. The partners spent years developing the ACO arrangement, which became effective Jan. 1, to provide care for 11,000 Medicare beneficiaries in its community. The ACO is a Track 1 participant in the Medicare Shared Savings Program and includes physicians of Bon Secours Charity Health System Medical Group.
Henry Ford ACO (Detroit). The six-hospital Henry Ford Health System launched Henry Ford ACO Jan. 1, 2016. The ACO participated in CMS' Next Generation ACO Model pilot and serves more than 20,000 Medicare patients in southeast Michigan. In 2016, the Henry Ford ACO generated $5 million in savings and ranked No. 7 in the nation for highest gross and shared savings among all Next Generation ACOs.
Heritage California ACO (Northridge, Calif.). CMS selected Heritage California ACO to participate in the Pioneer ACO Model in 2012. Heritage California ACO transitioned to the Next Generation ACO Model in 2016 to continue providing value-based care. The ACO is an affiliate of Northridge-based Heritage Provider Network, which includes 2,100 primary care physicians, more than 30,000 specialists and over 100 hospitals.
HSHS ACO (Springfield, Ill.). HSHS ACO is a collaboration between Springfield-based Hospital Sisters Health System's seven Illinois hospitals and Springfield-based Physician Clinical Integration Network providers. In 2016, HSHS ACO became a Medicare Shared Savings Program ACO. HSHS ACO covers more than 21,000 patients.
Ingalls Care Network (Harvey, Ill.). UChicago Medicine Ingalls Memorial has served Harvey, Ill., and the surrounding communities since 1930 and expanded over the years to include a 478-bed hospital along with a network of outpatient facilities. The nonprofit hospital developed Ingalls Care Network and began to realize shared savings in 2014, when it reported $3.2 million in shared savings. The organization is a Track 1 ACO in the Medicare Shared Savings Program.
Integra Community Care Network (Providence, R.I.). Integra Community Care Network is composed of Providence-based Care New England Health System, Rhode Island Primary Care Physicians Corp. in Cranston, and Wakefield, R.I.-based South County Health. The ACO is part of the Medicare Shared Savings Program and generated $8.3 million in savings in 2016. In 2017, CMS selected Integra Community Care Network to participate in the Next Generation ACO Model.
John Muir Health (Walnut Creek, Calif.). John Muir Health's ACO participates in the Medicare Shared Savings Program. In 2014, John Muir Health was the only MSSP ACO in California eligible to share in savings. For the 2015 performance year, the John Muir Health Medicare ACO generated $6.9 million in savings. The two-hospital health system also engaged in ACO initiatives with Blue Shield of California in 2012 and Health Net of California in 2015.
Johns Hopkins Medicine Alliance for Patients (Glen Burnie, Md.). Launched in 2014, Johns Hopkins Medicine Alliance for Patients serves about 38,000 Medicare patients in Maryland and Washington, D.C., as part of the Medicare Shared Savings Program. In 2015, the ACO achieved a quality score among the top quarter nationally and within the top three in Maryland. The ACO also reduced its hospital admission and emergency department visit rates by 2 percent from its 2014 scores. In 2017, Johns Hopkins Medicine Alliance for Patients renewed its participation in the MSSP.
Kentucky Good Help ACO (Ashland). As a Medicare Shared Savings Program Track 1 ACO launched in January 2017, Kentucky Good Help ACO aims to improve coordinated care and lower costs across its patient population. The ACO participants include Marriottsville, Md.-based Bon Secours Health System, Ashland, Ky.-based Bon Secours Kentucky Health System, two hospitals, and Ashland-based Bellefonte Physician Services. In the 2017 performance year, Kentucky Good Help ACO served 7,667 beneficiaries in Kentucky and Ohio.
KentuckyOne Health Partners (Louisville, Ky.). KentuckyOne Health Partners is the largest ACO in the state, with more than 2,000 affiliated providers. The ACO earned five-star ranking from the California Association of Physician Groups in 2017 and 2018. In 2017, KentuckyOne Health Partners generated shared savings of more than $1.5 million and has achieved $28 million in shared savings since its 2012 inception.
Kootenai Accountable Care (Coeur D'Alene, Idaho). The Kootenai Care Network is a clinically integrated network that includes Coeur D'Alene, Idaho-based Kootenai Clinic's 200 providers as well as independent providers. Participating physicians can maintain their independence while collaborating with others to develop clinical protocols and monitor performance. The network supports community physicians and increases collaboration among providers; participants also receive assistance with EMR and IT solutions, and the network can negotiate value-based contracts with both payers and employers. Kootenai Accountable Care is a Track 1 participant in the Medicare Shared Savings Program.
Lahey Clinical Performance ACO (Beverly, Mass.). Lahey Clinical Performance ACO includes more than 30 participants, including Burlington, Mass.-based Lahey Clinic Hospital & Medical Center, a physician-led nonprofit group practice with more than 500 physicians and 5,000 nurses. The ACO has more than 1,400 adult and pediatric participating providers. In 2015, the ACO generated $4.61 million in shared savings and distributed half to ACO participants.
LifeBridge Health ACO (Baltimore). LifeBridge Health ACO includes 594 participants and covers 19,000 lives. The ACO includes more than 160 primary care providers and more than 400 specialists. LifeBridge Health ACO participates in the Medicare Shared Savings Program and achieved quality scores of 100 percent in 2015.
MaineHealth Accountable Care Organization (Portland, Maine). MaineHealth Accountable Care Organization is a collaboration of 10 hospitals and more than 1,500 healthcare providers who serve about 200,000 patients in Maine and northern New Hampshire. The ACO employs a team of 90 people to direct care with healthcare professionals, community partners and health plans to provide patient-centered care, especially for individuals with chronic illnesses. In 2017, the ACO launched Arcadia, a population health management tool to gather clinical and claims data that will help identify high-risk and high-need patients and manage variations in care. The ACO is a Track 1 participant in the Medicare Shared Savings Program.
Maury Regional Health Network (Columbia, Tenn.). Maury Regional Health Network is an ACO comprising five providers in Columbia, Tenn.: Maury Regional Hospital, Maury Regional Medical Center, Maury Regional Health System and two Maury-affiliated physician groups. The ACO was launched as a Track 1 Medicare Shared Savings ACO and served 7,644 beneficiaries in the 2017 performance year.
MedStar Accountable Care (Baltimore). MedStar Accountable Care joined the Medicare Shared Savings Program in 2016 and jumped into MSSP Track 3, assuming the highest possible level of financial risk. The ACO has 17 participants and is affiliated with Columbia, Md.-based MedStar Health, which operates 10 hospitals in the Baltimore and Washington, D.C., areas.
Memorial Hermann ACO (Houston). Memorial Hermann ACO brings together 12 hospitals, numerous specialty institutes and outpatient facilities from Houston-based Memorial Hermann with a network of affiliated physicians across the Houston metro area. CMS selected Memorial Hermann ACO to participate in the Medicare Shared Savings Program in 2012, and the ACO reported $14.03 million in savings for the 2016 performance year. It invested 20 percent of its 2016 savings into infrastructure and 15 percent into redesigning care. The remaining 65 percent of savings was distributed to ACO participants.
Methodist Alliance for Patients and Physicians (Dallas). Methodist Alliance for Patients and Physicians, known as MAP2, is a clinically integrated network of physicians who aim to develop more coordinated care. Founded in 2012 as the Methodist Patient-Centered Accountable Care Organization, the network is composed of specialists, including orthopedic surgeons, gastroenterologists and family physicians. For the 2016 performance year, the ACO reported $4.9 million in savings and distributed one-third to physicians and another third to hospital participants.
Mercy ACO (Des Moines, Iowa). Mercy ACO is owned by Mercy Medical Center Des Moines with management services provided by Mercy's accountable care department. Mercy founded Mercy ACO in 2012, and today the ACO is composed of 190-plus participant organizations with more than 3,500 providers across Iowa, Nebraska and Wisconsin. Since inception, the ACO has reduced its readmission rate by 7.14 percent. One of the hallmarks of Mercy ACO's services is its Mercy Health Coach Program, which helps patients establish and adhere to health goals at home to reduce the likelihood of unnecessary hospital readmissions.
Mercy Health Corporation ACO (Rockford, Ill.). Mercy Health Corporation ACO, better known as Mercyhealth ACO, joined the Medicare Shared Savings Program in 2014. Today, the ACO serves 2.1 million patients throughout northern Illinois and Wisconsin at its five hospitals; 80 primary and specialty care locations; 15 hospice, home health, medical equipment and pharmacy facilities; and a wholly owned insurance product under the MercyCare brand. In 2017, the ACO reached 60 percent of its beneficiaries through annual wellness visits.
Mercy Health Select (Cincinnati). Mercy Health Select includes hospitals and physicians from across Cincinnati-based Mercy Health, including specialty practices like Toledo, Ohio-based Regency Urological Associates and Springfield (Ohio) Orthopaedic and Sports Medicine Institute. CMS selected the ACO to participate in the Medicare Shared Savings Program in 2012, and in the 2016 performance year Mercy Health Select invested half of its $5.88 million in savings into infrastructure and distributed the remaining half to ACO participants.
Mid-Atlantic Collaborative Care (Houston). Mid-Atlantic Collaborative Care is composed of roughly 100 participants, including Seven Corners (Va.) Medical Center and specialty physician practices focused on internal medicine, gastroenterology, anesthesiology and other specialties. The ACO joined the Medicare Shared Savings Program and reported $2.4 million in savings for the 2017 performance year.
Millennium ACO (Fort Myers, Fla.). Millennium ACO is a company of Millennium Physician Group, a primary care group in Fort Myers. The ACO, a collaboration between Millennium Physician Group and University Family Healthcare in Sarasota, also maintains corporate agreements with various home care, rehabilitation and cancer groups. Millennium ACO reported $18.53 million in savings for the 2016 performance year, investing 15 percent in infrastructure and 20 percent in redesigned care processes while distributing 65 percent to ACO participants.
Montefiore ACO (Bronx, N.Y.). Montefiore ACO provides care management services to Montefiore's 11 hospitals in four New York counties. In 2012 CMS selected Montefiore ACO as the first ACO to participate in the Pioneer ACO Model in New York, and in 2016 — the last year of the model — its physicians earned a 95.16 quality score. Between 2012 and 2016, the ACO's preventive care approach also saved Medicare more than $73 million. In 2017 Montefiore ACO transitioned to the Next Generation ACO Model, where it serves 51,918 beneficiaries.
Mount Sinai Care (New York City). Mount Sinai Care joined the Medicare Shared Savings Program in 2012. Today, the ACO comprises 50-plus providers, including physician practices and community health centers, along with Mount Sinai Hospital and its medical school, both based in New York City. In 2016, the ACO's providers earned a 93.81 quality score based on the Consumer Assessment of Healthcare Providers and Systems Survey for ACOs.
NewHealth Collaborative (Akron, Ohio). NewHealth Collaborative is Summa Health System's ACO, comprising 500 provider and six hospital members. The ACO serves about 74,000 members, including 40,000 commercial patients, 12,000 Medicare Advantage patients and 22,000 Medicare beneficiaries as part of the Medicare Shared Savings Program. For the 2015 performance year, the ACO reported $3 million in shared savings and distributed 63 percent to participating physicians.
National ACO (Beverly Hills, Calif.). CMS selected National ACO to participate in the Medicare Shared Savings Program in 2013, and between 2013 and 2015 the ACO saved CMS an estimated $14.7 million. Today National ACO is part of CMS' Next Generation ACO Model, assuming additional risk. By 2021 National ACO expects to grow to serve 135,000 beneficiaries and accrue savings of $87 million.
National Rural Accountable Care Consortium (Beaverton, Ore.). The National Rural Accountable Care Consortium is a nonprofit consortium of rural hospital CEOs from providers across the U.S. In 2014 the group launched the first National Rural ACO and the NRACO Services Corp., which supports rural ACOs with training, analytics and patient surveys. In 2015 the NRACO Services Corp. organized 6,000-plus providers across 159 rural health systems into 23 ACOs and obtained $46 million in ACO investment model funding.
NewHealth Collaborative (Akron, Ohio). NewHealth Collaborative, affiliated with Akron, Ohio-based Summa Health, is in its seventh year of operation. The Track 1 Medicare Shared Savings Program ACO includes 250 primary care physicians supported by 650 member and affiliate specialist physicians. The clinician-led ACO reported $3 million in shared savings for the 2015 performance year and distributed 63 percent of the savings to ACO participants. NewHealth Collaborative covers around 74,000 patients — 40,000 commercially insured patients, 12,000 Medicare Advantage patients, and 22,000 Medicare beneficiaries participating in the ACO's MSSP — with $600 million in total medical spend.
NewYork Quality Care (New York City). NewYork Quality Care is a partnership between NewYork-Presbyterian, Columbia College of Physicians and Surgeons and Weill Cornell Medicine, all based in New York City. The ACO participates in the Medicare Shared Savings Program as a Track 1 ACO serving Medicare fee-for-service beneficiaries. NewYork Quality Care has about 30,000 enrolled patients who benefit from the aligned care.
NH Accountable Care Partners (Concord, N.H.). In 2012, six hospitals and ACO professionals teamed up to establish NH Accountable Care Partners. Led by David Green, MD, the ACO now comprises 14 participants and more than 1,400 healthcare providers serving 55,000-plus Medicare beneficiaries. In 2016, the ACO achieved quality performance results of 94.5 percent, an increase of about five points compared to the previous year.
Northwell Health ACO (Manhasset, N.Y.). The Northwell Health ACO began participating in the Medicare Shared Savings Program in 2016. The ACO's governing body consists of independent physicians, Northwell Health-employed physicians and a Medicare beneficiary. Nearly 200 organizations are involved in the Northwell Health ACO.
Northwestern Medicine Physician Network (Oak Brook, Ill.). Northwestern Medicine Physician Network was created in 2013 and has grown to include 60 participating organizations. The ACO coordinates population health activities between payers and providers in Chicago-based Northwestern Memorial HealthCare's West and Central regions. The ACO was designed to promote wellness and prevention, chronic condition management and extra care coordination for critically ill patients.
NYC Health + Hospitals (New York City). NYC Health + Hospitals' ACO achieved shared savings for the fifth consecutive year in 2017, earning a quality performance score of 84 percent. In 2017, the ACO saved Medicare $5.27 million and earned $2.18 million in shared savings by coordinating care for more than 10,000 Medicare patients. ACO professionals, federally qualified health centers and Electing Teaching Amendment hospitals formed the ACO, which has nine participating organizations. Since 2013, HHC ACO, Inc. has saved the Medicare program over $37 million, resulting in savings of over $16 million for NYC Health + Hospitals and its external partners.
OhioHealth Venture (Columbus). OhioHealth Venture ACO launched in January 2018 as a Track 1 Medicare Shared Savings Program ACO. The organization includes OhioHealth, an 11-hospital health system, as well as the system's Grady Memorial Hospital in Delaware, Ohio, Marion (Ohio) General Hospital and several other physician organizations. OhioHealth serves 47 counties in the state and has more than 29,000 associates.
OneCare Vermont (Colchester). OneCare Vermont coordinates healthcare services for more than 112,000 patients with Medicare, Medicaid, commercial and self-funded health plans. The ACO consists of a broad range of providers, including Vermont and New Hampshire hospitals, hundreds of physicians, federally qualified health centers and skilled nursing facilities. In 2017, the ACO distributed 90 percent of shared savings to ACO participants.
Optimus Healthcare Partners (Summit, N.J.). Founded in 2010, Optimus Healthcare Partners comprises 630 participating organizations and covers 131,804 beneficiaries. The ACO was among the first three in New Jersey to have a Medicare Shared Savings Program arrangement in April 2012. Since then, it has achieved an average quality rating greater than 90 percent for four years, saved CMS $50 million and earned $23 million for distribution to the MSSP ACO and its participants.
OSF HealthCare System (Peoria, Ill.). The OSF HealthCare System ACO was established as a Pioneer ACO in 2011. After earning a 90.3 percent quality score in 2014 — the fifth-highest reported among Pioneer ACOs — the ACO became one of the first to adopt the CMS Next Generation ACO Model in 2016. OSF HealthCare System began participating in the Medicare Shared Savings Program in 2017, covering 43,871 lives through the MSSP Track 3.
Palm Beach ACO (Palm Springs, Fla.). Owned and operated by physicians, Palm Beach ACO includes 275 primary care physician members and 175 specialist physician members. The organization covers more than 79,000 patients, with providers serving about 150,000 Medicare beneficiaries annually. In 2016, the ACO reported $30.5 million in shared savings and distributed 85 percent to participants.
Park Nicollet Health Services (St. Louis Park, Minn.). Formed by ACO professionals in a group practice arrangement, Parker Nicollet participated under the CMS Pioneer ACO Model from 2012 to 2015. The ACO transitioned to the Next Generation ACO Model in 2016. The ACO utilizes the skilled nursing facility three-day rule waiver with seven approved facilities and reinvests 100 percent of shared savings into infrastructure to enhance care quality.
Partners HealthCare (Needham, Mass.). Since it was established in 2012, Partners HealthCare ACO has landed contracts with all the major insurers. Partners launched a MassHealth ACO called Partners HealthCare Choice in March, reaching two ACOs with government payers. After five years under the CMS Pioneer ACO Model, Partners saved Medicare $38 million, and the ACO transitioned to the Next Generation ACO Model in 2017.
Partners for Kids (Columbus, Ohio). Columbus-based Nationwide Children's Hospital's Partners for Kids is one of the nation's largest pediatric ACOs, coordinating treatment for 330,000 children in 34 Ohio counties who receive care under the state's five Medicaid managed care plans. More than 1,000 physicians participate in the ACO. In 2017, Partners for Kids grew to comprise 40 percent of Nationwide Children's Hospital's revenue, or $840 million, helping the hospital achieve double-digit margins.
Physician Partners of Western PA (Pittsburgh). Allegheny Health Network developed Physician Partners of Western PA, a clinically integrated network that includes employed and independent physicians. In February 2018, the ACO was accepted to participate in the Medicare Shared Savings Program, expanding the organization's access to include an additional 35,000 fee-for-service Medicare beneficiaries; the ACO already coordinated care for around 250,000 patients. The network includes 2,800 physicians and 19,000 employees.
Physician Organization of Michigan ACO (Ann Arbor, Mich.). Physician Organization of Michigan entered into a Medicare Shared Savings Program Participation Agreement in 2013. More than 100 organizations participate in the physician-led partnership, which was formed by groups including ACO professionals, federally qualified health centers and rural health centers. Physician Organization of Michigan ACO is composed of about 6,000 providers.
Physicians of Southwest Washington (Olympia). Founded in 1995, Physicians of Southwest Washington represents a network of more than 550 physicians and healthcare providers. It holds majority ownership of Olympia-based NW Momentum Health Partners, a Next Generation ACO. Overseeing about 40 participating provider organizations, the ACO distributes 20 percent of the shared savings to physicians, devotes 40 percent to operational reserves and reinvestment, and provides 20 percent to ACO equity owners.
Piedmont Clinic ACO (Atlanta). Launched in the 1990s, Piedmont Clinic is a network of about 2,000 independent and Piedmont Physician Enterprise-employed physicians covering family medicine and specialty surgical care. The organization launched its ACO in January 2017 as a Medicare Shared Savings Program Track 1 participant. In addition to Piedmont, the ACO includes 22 physician groups and Atlanta-based Digestive Healthcare of Georgia Endoscopy Centers, an ambulatory surgery center chain.
Pioneer Valley Accountable Care (Springfield, Mass.). Serving Medicare beneficiaries throughout the Pioneer Valley, Pioneer Valley Accountable Care is a Next Generation ACO. In 2016, the ACO reported $4.6 million in aggregate shared savings. Affiliated with Springfield-based Baycare Health Partners, Pioneer Valley Accountable Care is led by a 21-member board of managers composed of 14 physicians, three health system executives, two managed care organization executives, one Medicare beneficiary and one consumer advocate.
Princeton HealthCare Partners (Lawrenceville, N.J.). Princeton HealthCare Partners is an ACO with members including Plainsboro, N.J.-based Princeton Health, Princeton HealthCare Affiliated Physicians and additional physician practices in the community. The ACO participates in the Medicare Shared Savings Program and serves about 7,800 Medicare fee-for-service beneficiaries. The ACO's 90-plus primary care physicians collaborate to bring an evidence-based approach to care delivery to reduce readmissions and successfully transition patients out of the acute care setting.
ProHEALTH Accountable Care Medical Group (Lake Success, N.Y.). ProHEALTH Accountable Care Medical Group is composed of medical providers in a group practice agreement. The physicians are employees of ProHEALTH Care Associates, which includes primary care, specialty care and urgent care locations. As part of Eden Prairie, Minn.-based OptumCare, ProHEALTH Care also has on-site X-ray, EKG, IV care and lab services. ProHEALTH Accountable Care Medical Group participates as a Track 1 ACO in the Medicare Shared Savings Program and reported $6.3 million in shared savings for the 2015 performance year. The ACO distributed 30 percent of its savings to participants.
ProHealth Solutions (Waukesha, Wis.). Launched in 2011, ProHealth Solutions is a collaboration between Waukesha-based ProHealth Care and Waukesha Elmbrook Health Care, an independent physician association. Founded as a joint venture between Waukesha Hospital System and Oconomowoc (Wis.) Memorial Hospital in 1998, ProHealth Care's network now includes around 1,000 physicians, 12 primary care clinics, three hospitals and home healthcare. The organization participates in the CMS Next Generation ACO Model, designed for highly integrated organizations to take on additional risk.
ProMedica Health Network (Toledo, Ohio). With 60 participants, the ProMedica Health Network participates in the Medicare Shared Savings Program as a Track 1 ACO. The physician-led organization coordinates healthcare services for patients throughout the ProMedica network and identifies value-based contracting opportunities for partners. ProMedica is a nonprofit, mission-based integrated healthcare organization serving communities in 30 states. The healthcare organization includes 13 hospitals, 2,700 physicians and advanced practice providers, and more than 450 additional healthcare facilities.
Qualuable Medical Professionals (Kingsport, Tenn.). Qualuable Medical Professionals is composed of providers from northeast Tennessee and southwest Virginia. As a Track 1 participant in the Medicare Shared Savings Program, Qualuable reported $4.8 million in shared savings for the 2016 performance year and distributed 81 percent of the savings to ACO participants. The ACO includes 11 participating medical groups focused on specialties such as eye care, otolaryngology, spine and surgery.
Richmond (Va.) Good Help ACO. In January 2017, Richmond Good Help ACO launched operations. The organization is a Medicare Shared Savings Program Track 1 participant that includes Richmond, Va.-based Bon Secours Richmond Health System, Marriottsville, Md.-based Bon Secours Health System, and three additional Bon Secours-affiliated hospitals. Richmond-based Tuckahoe Orthopaedics and Glen Allen, Va.-based Bon Secours Ambulatory Services also participate in the ACO.
Rio Grande Valley ACO Health Providers (Donna, Texas). Healthcare clinics in four counties covering south Texas and Passaic County, N.J., make up Rio Grande Valley ACO Health Providers. As a Track 3 participant in the Medicare Shared Savings Program, RGV ACO continually demonstrates the ability to generate savings for Medicare. In 2016, the ACO was one of the top earners among MSSP ACOs for the third consecutive year, earning $12.6 million in shared savings for the 2015 performance year. For the 2016 performance year, the ACO reported $10 million in shared savings and distributed 68 percent to its participants. Darwin Health honored RGV ACO with the 2016 ACO of the Year award.
Rio Grande Valley Health Alliance (McAllen, Texas). Seventeen primary care physicians make up Rio Grande Valley Health Alliance, an ACO that aims to provide more coordinated care for Medicare fee-for-service beneficiaries. The ACO is a Track 3 participant in the Medicare Shared Savings Program and reported $6.2 million in shared savings for the 2016 performance year. After distributing 80 percent of savings to participants, the ACO spent 15 percent of savings on infrastructure and reinvested the remaining 5 percent in redesigning care processes and resources.
Riverside Health Source (Newport News, Va.). In 2013, Riverside Health System partnered with Aetna to develop Riverside Health Source, which was the payer's third ACO contract in Virginia. Riverside Physician Services, Riverside Hospital, Peninsula Cancer Institute and Michumi all participate in the ACO. Riverside Health Source is a Track 1 participant in the Medicare Shared Savings Program.
Rochester Regional ACO (Rochester, N.Y.). Rochester Regional ACO is Greater Rochester Independent Practice Association's ACO. GRIPA was founded in 1996 and has grown to include more than 1,300 physicians and affiliated hospitals. Rochester Regional ACO is a Track 1 participant in the Medicare Shared Savings Program.
Robert Wood Johnson Partners (New Brunswick, N.J.). Robert Wood Johnson Partners is a physician-led clinically integrated network. As a partnership between Rutgers University, Robert Wood Johnson University Hospital and Robert Wood Johnson Health System — all based in New Brunswick — the ACO has more than 750 physician participants who care for patients in central and northern New Jersey. The ACO formed in 2012 and now includes more than 130 practice locations. A Track 1 participant in the Medicare Shared Savings Program, the ACO reported $3.9 million in shared savings for the 2016 performance year, distributing half to ACO participants.
Roper St. Francis Health Alliance (Charleston, S.C.). Roper St. Francis Health Alliance, a subsidiary of Charleston, S.C.-based Roper St. Francis, formed an ACO and clinically integrated network as a collaboration between independent and employed physicians. The organization includes family medicine physicians and specialists in orthopedics, neurosurgery and cardiology, among others. The ACO is a Track 1 participant in the Medicare Shared Savings Program.
Rush Health Chicago. Rush Health is a clinically integrated network of healthcare providers, including Kankakee, Ill.-based Riverside Medical Center, Aurora, Ill.-based Rush Copley Medical Center, Rush Oak Park (Ill.) Hospital and Chicago-based Rush University Medical Center, as well as healthcare providers. The ACO includes more than 1,100 physicians and around 300 non-physician network clinicians. Rush Health participates as a Track 1 ACO in the Medicare Shared Savings Program and earned CVO certification from the National Committee for Quality Assurance in 2014.
SERPA-ACO (Crete, Neb.). SERPA-ACO is a Track 1 participant in the Medicare Shared Savings Program and includes 16 participating clinics. Originally launched in 2013 by nine independent family medicine practices, SERPA-ACO stands for SERving PAtients Accountable Care Organization and delivers care to a rural population. CMS provided $2.1 million in startup funding for the ACO, and when there are shared savings the ACO will distribute 50 percent to participants.
Signature Partners (Falls Church, Va.). Signature Partners is an ACO serving patients in Northern Virginia. As a collaborative of more than 1,700 physicians, the organization aims to use the clinically integrated network and EHR technology to better coordinate care. The ACO participates in the Medicare Shared Savings Program and is affiliated with Inova, a Falls Church-based health system with more than 1,800 beds and 16,000 employees serving a community of 2 million people in the Washington, D.C., metropolitan area.
Southcoast Accountable Care Organization (New Bedford, Mass.). Southcoast Accountable Care Organization is part of the Track 1 Medicare Shared Savings Program. It serves a patient population of about 20,612 beneficiaries and had a quality score of 92.9 percent in 2016. The ACO comprises 18 physician groups, including internal medicine, gynecology and orthopedic specialists, as well as Southcoast Physicians Group, which has more than 450 providers and 55 service locations in Massachusetts and Rhode Island.
Southeastern Health Partners (Greensville, S.C.). As a Track 1 Medicare Shared Savings Program ACO, Southeastern Health Partners is a partnership that includes Anderson, S.C.-based AnMed Health, Spartanburg (S.C.) Medical Center, Greensville, S.C.-based St. Francis Hospital and other healthcare providers. The ACO's goal is to increase quality performance, care coordination and population growth while delivering seamless quality care and utilization reduction. Southeastern Health Partners served 59,544 beneficiaries in North and South Carolina for the 2017 performance year.
Southwestern Health Resources (Dallas). As a collaboration between Arlington-based Texas Health Resources and Dallas-based UT Southwestern Medical Center, Southwestern Health Resources has been a CMS Next Generation ACO Model participant since January 2017. The physician-led ACO also includes community physicians and other healthcare providers aligned to improve care delivery. For the 2016 performance year as part of the Medicare Shared Savings Program, Southwestern Health Resources reported $17.4 million in shared savings and distributed 59 percent to ACO participants. The ACO includes 31 hospitals, more than 650 other care locations and 3,000-plus physicians.
St. Joseph's Candler Advocate Health Network (Savannah, Ga.). Advocate Health Network formed in 2015 with St. Joseph's/Candler Health System as its sole member and bearing the responsibilities for capital requirements. Both primary care and specialty physicians, as well as independent and employed physicians, sit on the board to oversee operations for the ACO, which has more than 550 physician participants. The physician-led ACO was accepted to participate in the Medicare Shared Savings Program in January 2017.
St. Luke's ACO (Chesterfield, Mo.). In February 2018, St. Luke's ACO, a subsidiary of Chesterfield, Mo.-based St. Luke's Hospital, was selected as a new participant in the Medicare Shared Savings Program. The ACO's participants include St. Luke's Medical Group physicians, the 493-bed St. Luke's Hospital, outpatient services and a skilled nursing facility. When fully launched, the ACO aims to reduce paperwork in the physician's office, avoiding unnecessary tests and increasing awareness about treatment options.
St. Luke’s Medicare ACO (Bethlehem, Pa.). St. Luke's Medicare ACO is affiliated with Bethlehem, Pa.-based St. Luke's University Health Network, a nonprofit health system with 10 hospitals and more than 315 care sites in Pennsylvania and New Jersey. The ACO includes specialists as well as primary care physicians and participates in the Medicare Shared Savings Program.
Tenet Healthcare (Dallas). Around 85 percent of Tenet's 68 hospitals currently participate in ACOs, covering around 1 million patients. The health system's ACOs also include clinically integrated networks aligning with the hospitals to deliver comprehensive and cost-effective care. Tenet networks span 10 states and include primary care and specialists, microhospitals, and off-campus emergency departments, as well as United Surgical Partners International, an ASC company with more than 390 facilities nationwide.
ThedaCare ACO (Appleton, Wis.). ThedaCare first established an ACO in partnership with Green Bay, Wis.-based Bellin Health in 2008 and was selected for the CMS Pioneer ACO program in 2012. In three years, the ACO was responsible for nearly $14 million in savings for the federal government. ThedaCare ACO then became a Next Generation ACO to take on risk. The ACO includes seven hospital participants and several physician groups.
Torrance (Calif.) Memorial Integrated Physicians. Torrance Memorial Medical Center, an affiliate of Los Angeles-based Cedars-Sinai, is a 512-bed nonprofit hospital established to provide care to the South Bay, Peninsula and Harbor communities surrounding Torrance, Calif. Torrance Memorial Integrated Physicians was launched in February 2012 as a California limited liability company by Torrance Health Associates and Torrance Memorial medical staff to create an ACO. The organization now participates in the CMS Next Generation ACO Model.
Triad HealthCare Network (Greensboro, N.C.). As a physician-led ACO, Triad HealthCare Network provides value-added services to physician members who provide care for the Piedmont Triad of North Carolina. The ACO includes employed and independent physicians who agree to collaborate on coordinated, patient-centered care. The network began to participate in the Medicare Shared Savings Program in July 2012 and agreed to participate in the Next Generation ACO Model in January 2016. For the 2016 reporting year, the ACO received $10.7 million in shared savings and distributed 75 percent to the participants, including Greensboro, N.C.-based Cone Health.
Trinity Health ACO (Livonia, Mich.). Trinity Health ACO is a CMS Next Generation ACO Model serving patients in Illinois, Michigan, New Jersey and Ohio. It includes both primary care and specialty physicians, 2,955 providers in all, who treat about 52,000 Medicare beneficiaries. For the 2016 performance year, Trinity Health ACO achieved more than $6.5 million in shared savings, ranking fourth among 18 Next Generation ACOs that year. The ACO also achieved a 100 percent quality performance rating in 2016.
UMC Accountable Care (Lubbock, Texas). UMC Accountable Care's mission is to better coordinate care for high quality clinical outcomes, enhanced patient experience and managed medical costs. Established in May 2017, the ACO participates in the Medicare Shared Savings Program and comprises two large physician organizations: University Medical Center Physicians and Texas Tech University Health Sciences Center physicians. All together, the ACO is composed of 325 physicians and Lubbock-based UMC Health System.
UNC Senior Alliance (Morrisville, N.C.). UNC Senior Alliance is a physician-led ACO driven by Chapel Hill, N.C.-based UNC Health Care-employed providers and independent physicians. In 2017, the ACO joined the CMS Next Generation ACO Model to provide coordinated care to about 24,000 Medicare beneficiaries in North Carolina. The ACO, which includes 942 primary care providers and 2,586 specialty providers, also recently struck an agreement with Blue Cross Blue Shield of North Carolina to lower ACA rates by more than 21 percent, which is expected to lead to a $200 million healthcare cost reduction in 2019. BCBS of NC also is lowering ACA rates by an average of 4.1 percent statewide.
UnityPoint Accountable Care (West Des Moines). UnityPoint Accountable Care includes primary care and specialty physicians and providers from across Iowa aligning to better coordinate healthcare delivery. The ACO is part of the CMS Next Generation ACO Model and reported $10.5 million in shared savings for the 2016 performance year. UnityPoint Accountable Care distributed 100 percent of the savings to ACO participants. Overall, the ACO reported $28.7 million in shared savings for the 2016 performance year, including $18.2 million from commercial contracts. In September 2017, Iowa City-based University of Iowa Health Care joined the ACO, adding more than 1,000 physicians and 400 advanced care practice providers.
University Health ACO (Knoxville, Tenn.). University Health ACO launched in January as a Medicare Shared Savings Program ACO Track 1 participant. The ACO comprises the University of Tennessee Medical Center, a Knoxville-based academic medical center and level 1 trauma center. The hospital includes institutes for brain and spine care, cancer treatment and advanced orthopedics.
University Hospitals (Cleveland). Cleveland-based University Hospitals launched the University Hospitals Accountable Care Organization in 2010 and has covered about 25,000 employees since then through the UH Medical Plan. The health system then launched the UH Rainbow Babies & Children's Hospital ACO, called UH Rainbow Care Connection, with a $12.7 million Health Care Innovation Grant from CMS and received approval for its Medicare ACO, UH Coordinated Care Organization, in 2012 to serve 42,000 Medicare beneficiaries among 64,712 beneficiaries total. It is a Track 1 participant in the Medicare Shared Savings Program with 1,770 participating physicians.
University Hospitals Coordinated Care Organization (Shaker Heights, Ohio). Launched in July 2012, University Hospitals Coordinated Care Organization is a Track 1 Medicare Shared Savings ACO with 1,770 physician participants. The ACO covered a patient population of 64,712 in 2016. The ACO includes University Hospitals Health System's 11 community medical centers, 25,000 employees and 10 physician groups.
University of Iowa Health Alliance (Des Moines). The University of Iowa Health Alliance is a physician-led ACO comprising 3,000 care providers. The ACO works directly with insurance carriers and employers to develop value-based care delivery and payment models. Designed to support independent systems and physician groups, the ACO can manage insurance and payer risk as well as provide scale for investing in clinical integration and technology. The ACO includes providers from the Iowa City-based University of Iowa Health Care; Davenport, Iowa-based Genesis Health System; Mercy Cedar Rapids (Iowa); and West Burlington, Iowa-based Great River Health Systems. The ACO participates in the Medicare Shared Savings Program.
UW Health ACO (Madison, Wis.). A partnership between UW Health, University of Wisconsin School of Medicine and Public Health and UnityPoint Health-Meriter physicians, clinics and hospitals, UW Health ACO aims to better coordinate care for beneficiaries across the network. The ACO entered the Medicare Shared Savings Program as a Track 1 participant in 2013 and currently participates in the CMS Next Generation ACO Model, taking on additional risk for care delivery.
WakeMed Key Community Care (Raleigh, N.C.). WakeMed Key Community Care was established in partnership between Raleigh, N.C.-based WakeMed Health & Hospitals and key physicians in the community. It joined the Medicare Shared Savings Program in December 2013. In 2014, the ACO signed an agreement with Blue Cross Blue Shield of North Carolina to establish the Joint Quality Committee, working closely to better manage care for patients. Since then, the ACO has partnered with UnitedHealthcare in 2015 and Cigna and Aetna in 2016, adding thousands of commercially insured patients to its network.
WellStar Health Network (Marietta, Ga.). The WellStar Health Network was formed as a partnership between the 11-hospital WellStar health system and ACO professionals. The organization includes specialists as well as primary care physicians and participates in the Medicare Shared Savings Program. For the 2015 performance year, WellStar Health Network reported $5.2 million in shared savings and distributed 71 percent to ACO participants.
West Florida ACO (Trinity, Fla.). West Florida ACO was among the first 27 ACOs accepted in the Medicare Shared Savings Program in April 2012. The ACO covers family medicine, internal medicine, hospital visits and comprehensive health checks for Medicare beneficiaries in Tampa Bay, Fla., and the surrounding area. West Florida ACO also provides quality measure reporting and a 24/7 call service for beneficiaries to ensure timely care and improve population health. The ACO currently has more than 60 practices and cares for 17,749 Medicare beneficiaries.
White River Health System Clinically Integrated Network (Batesville, Ark.). White River Health System has healthcare facilities in 14 communities throughout north central Arkansas. It launched its accountable care organization in January as a Track 1 ACO in the Medicare Shared Savings Program. Seven rural health clinics, two hospitals, three ASCs and several physician groups participate in the ACO alongside White River Health System.