By Joe Damore, Premier’s vice president of population health management
Premier commends the continued successes of leading healthcare providers participating in Medicare Shared Savings (MSSP) and Pioneer Accountable Care Organization (ACO) Programs for their progress in improving the health of a Medicare population, reducing healthcare costs, and leading the change from a volume-based, sickness-focused model to a value-based, wellness-focused health system.
We are also pleased to report that members of Premier’s Population Health Management Collaborative have significantly outpaced the nation for the third year in a row, with roughly 50 percent of our member MSSP and Pioneer ACOs achieving shared savings payments from Medicare.
Success in population health is difficult to achieve. Part of this is due to the challenges of changing an embedded, 50-year culture of a fee-for-service programs that contradict an ACO’s incentives. Although many policies have changed to improve the fee-for-service model, part of the challenge is also that some policies continue to impede success, such as the lack of waivers from antiquated fee-for-service rules, incomplete access to all patient claims information that enable effective and coordinated patient care management, rewarding higher quality care rather than reducing shared savings for poorer quality performance, and greater use of prospective assignment of patients to an ACO. With continued work by these leading healthcare providers and additional enlightened policies, we will see these leading organizations continue to positively transform American healthcare.
-Joe Damore, Vice President, Population Health Management, Premier Inc.