Eleven of 18 Next Generation ACOs generated shared savings in 2016 while seven saw losses, according to data CMS released Friday.
ACOs participating in the Next Generation model are veterans of the Medicare Shared Savings Program and the Pioneer ACO Model. The Next Generation program requires taking on more financial risk than other ACO models. However, it also offers a bigger payoff.
Next Generation ACOs also qualify as advanced alternative payment models under the Medicare Access and CHIP Reauthorization Act's Quality Payment Program in the 2017 reporting year. This means clinicians with adequate participation in a Next Generation ACO this year may qualify for additional incentive payments beginning in 2019.
Here is how they compared in terms of shared savings and losses for 2016.
1. Baroma Health Partners (Miami) — $12,254,176
2. Triad HealthCare Network (Greensboro, N.C.) — $10,735,910
3. Iowa Health Accountable Care (West Des Moines) — $10,527,767
4. Trinity Health ACO (Livonia, Mich.) — $6,529,274
5. Deaconess Care Integration (Evansville, Ind.) — $5,719,530
6. Pioneer Valley Accountable Care (Springfield, Mass.) — $4,683,960
7. Henry Ford Physician ACO (Detroit) — $3,938,137
8. Bellin Health Partners (Green Bay, Wis.) — $1,400,147
9. ThedaCare ACO (Appleton, Wis.) — $1,348,292
10. Prospect ACO (Los Angeles) — $938,839
11. Steward Integrated Care Network (Boston) — $272,139
12. Cornerstone Health Enablement Strategic Solutions (High Point, N.C.) — -$63,570
13. Park Nicollet Health Services (St. Louis Park, Minn.) — -$691,498
14. Beacon Health (Brewer, Maine) — -$872,028
15. Accountable Care Coalition of Southeast Texas (Houston) — -$2,119,594
16. OSF HealthCare System (Peoria, Ill.) — -$5,236,860
17. MemorialCare Regional ACO (Fountain Valley, Calif.) — -$5,240,146
18. Optum Accountable Care (Phoenix) — -$6,151,383