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Premier congratulates the 541 accountable care organizations (ACOs) in the 2019 Medicare Shared Savings Program for achieving the highest net total Medicare savings to date—$1.19 billion—while delivering high-quality care. These impressive results reinforce the innovativeness of America’s healthcare providers as well the value of the ACO model. Premier alliance members have been leading participants in these models from the start and remain committed to delivering cost effective, integrated care to their patients. They are committed to moving from our current fragmented and sickness-based healthcare system to one that rewards quality and health.
While CMS cites better performance of “low-revenue” or physician-led ACOs, our experience has not shown that to be the case. We believe it is important to maintain a level competitive playing field for all ACOs. Model designs that discourage inclusion of hospitals undermine the objective of ACOs, which is to coordinate care across all providers to improve care, as well as potentially jeopardize access to needed patient care.
Changes are needed to speed progression to advanced risk-based models. Congress can further incent providers to participate in ACOs by lowering the APM Incentive Payment thresholds in MACRA to ensure more clinicians have the opportunity to become a Qualifying APM Participant (QP) and participate in Advanced APMs and by extending the 5 percent bonuses available to QPs participating in Advanced APMs. Moreover, Congress should also pass the Rural ACO Improvement Act (2648) / Accountable Care in Rural America Act (H.R. 5212) that would remove an ACOs’ attributed population from the regional benchmark calculation.
Premier, Inc. (NASDAQ: PINC) is a leading healthcare improvement company, uniting an alliance of more than 4,400 U.S. hospitals and health systems and approximately 250,000 other providers and organizations to transform healthcare. With integrated data and analytics, collaboratives, supply chain solutions, and consulting and other services, Premier enables better care and outcomes at a lower cost. Premier plays a critical role in the rapidly evolving healthcare industry, collaborating with members to co-develop long-term innovations that reinvent and improve the way care is delivered to patients nationwide. Headquartered in Charlotte, N.C., Premier is passionate about transforming American healthcare. Please visit Premier’s news and investor sites on www.premierinc.com; as well as Twitter, Facebook, LinkedIn, YouTube, Instagram and Premier’s blog for more information about the company.