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

All but two of 39 accountable treatment organizations reporting results in the Subsequent Generation ACO product attained shared price savings instead than owed funds, a determine the Countrywide Association of ACOs touts as a results for benefit-primarily based, capitated payments. 

Subsequent Generation is Medicare’s product of best possibility. NAACOS needs to see the four-year product designed long lasting.

Collectively, Subsequent Gen ACOs saved Medicare $559 million very last year, in accordance to partial 2019 efficiency facts designed obtainable by the Facilities for Medicare and Medicaid Expert services.

WHY THIS Matters

ACOs are accountable for the charge and high-quality of beneficiary treatment. They receive the suitable to share with Medicare price savings created if specific shelling out and high-quality metrics are achieved. 

ACOs hit an typical high-quality score of ninety three.seven% out of a perfect score of a hundred, strengthening treatment for 1.two million seniors, in accordance to NAACOS. 

Soon after accounting for shared price savings paid to ACOs for keeping down expenditures and hitting high-quality targets as properly as shared losses and discounts paid to the governing administration, the Subsequent Gen method netted $204 million to Medicare in 2019. By comparison, Subsequent Gen ACOs saved Medicare $406 million in 2018 and netted $185 million immediately after shared price savings and losses.

THE Larger Development

Introduced in 2016, and prolonged by a year to finish at the finish of 2021, Subsequent Gen builds off former innovation styles, this sort of as Pioneer, which began in 2012. CMS prolonged the method because of to the COVID-19 pandemic.

ON THE Document

“For just about every year of the method, Subsequent Gen ACOs yielded price savings for Medicare funds although also displaying an improvement in high-quality. Incredibly handful of applications CMS has designed around the yrs can say that,” stated Clif Gaus, president and CEO of the Countrywide Association of ACOs. “NAACOS continues to simply call on CMS to make the Subsequent Gen product a long lasting fixture in Medicare, either as a stand-by yourself method or an solution in the Shared Personal savings Method.”

ACO Title Overall Aligned Beneficiaries Overall Benchmark Expenditures Overall Genuine Expenditures for Aligned Beneficiaries Acquired Shared Personal savings Payments/Owe Shared Losses
Steward Built-in Treatment Network, Inc. 116,246 $1,544,646,a hundred forty five $1,522,698,357 $seventeen,207,066
ThedaCare ACO, LLC fifteen,874 $one hundred forty four,559,315 $143,365,443 $935,996
Pioneer Valley Accountable Treatment, LLC forty four,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 seventeen,389 $236,869,357 $219,148,172 $seventeen,366,762
Trinity Wellness ACO, Inc. 77,901 $941,696,538 $910,594,340 $24,384,123
Henry Ford Doctors Accountable Treatment Organization, 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 fourteen,229 $150,026,494 $147,574,093 $1,922,682
UnityPoint Accountable Treatment L.C. a hundred,200 $1,071,112,979 $1,016,449,896 $forty one,987,629
Health practitioner Associates LTD. 12,403 $122,716,225 $119,682,569 $two,378,386
Triad Health care Network, 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 $18,465,721
HCP California, LLC 30,217 $423,063,832 $435,448,822 ($9,907,993)
NW Momentum Wellness Associates ACO, LLC 13,787 $131,396,899 $129,738,056 $1,300,533
UT Southwestern Accountable Treatment Network 94,625 $1,239,092,055 $1,187,431,915 $50,626,938
Accountable Treatment Selections, LLC ten,952 $150,604,322 $149,668,641 $916,968
St. Luke’s Clinic Coordinated Treatment, LTD 32,489 $346,525,684 $317,278,019 $22,930,169
ProHealth Answers, LLC fifteen,809 $163,214,109 $158,499,385 $3,696,343
Indiana University Wellness 63,692 $753,934,320 $711,353,369 $29,554,225
Carilion Clinic Medicare Shared Personal savings Organization, LLC 52,775 $536,490,623 $510,506,034 $twenty,371,918
Arizona Treatment Network, LLC 35,751 $399,075,814 $397,495,209 $1,239,195
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 $fourteen,302,389
UW Wellness ACO, Inc. 27,498 $267,722,517 $256,244,488 $eight,998,775
Reliant Health-related Team, Inc ten,851 $one hundred forty,684,947 $one hundred thirty,546,703 $9,935,480
Reliance Subsequent Gen ACO, LLC 12,668 $169,196,334 $158,615,389 $eight,295,461
Key Treatment Alliance 13,011 $163,293,662 $142,200,984 $twenty,670,824
Revere Wellness fifteen,399 $176,343,855 $171,698,950 $3,641,606
CoxHealth Accountable Treatment, LLC 19,531 $183,521,482 $184,852,277 ($1,064,636)
Franciscan Missionaries of Our Lady Wellness Program Clinical Network, LLC 25,270 $280,978,730 $260,736,786 $sixteen,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
Most effective Treatment Collaborative fourteen,795 $176,349,676 $168,947,631 $seven,254,004
Accountable Treatment Coalition of Tennessee, LLC 22,489 $221,941,879 $205,764,102 $fifteen,854,222
Torrance Memorial Built-in Doctors, LLC 12,139 $171,013,621 $one hundred sixty,358,836 $6,703,734
NEQCA Accountable Treatment, Inc 35,261 $506,768,205 $489,561,739 $13,489,869

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