CMS releases Medicare ACO results showing continued improvements in cost and quality
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The Centers for Medicare & Medicaid Services (CMS) released quality and financial performance results showing that Medicare accountable care organizations (ACOs) generated over $411 million in total savings in 2014 while improving patient care. Ninety-seven ACOs also qualified for more than $422 million in shared savings payments, according to CMS. The announcement encompasses 2014 performance year results for 333 Medicare Shared Savings Program (MSSP) participants and Year 3 results for 20 Pioneer ACOs. CMS reported that the ACOs outperformed published benchmarks for quality and patient experience and improved significantly on almost all measures of quality and patient experience. CMS noted that overall, ACOs that have been in the program longer, tended to performer better.

More than 45 percent of the MSSP and Pioneer ACOs participating in Premier's population health management collaborative qualified for shared savings payments. View Premier's statement in response to the CMS annoucement here.

Highlights of the results include:

MSSP performance year 2014 results for ACOs with 2012, 2013 and 2014 start dates

  • Qualifying MSSP ACOs earned $341 million in shared savings, having kept spending $806 million below their targets. This is an increase over 2013, when 58 ACOs held spending $705 million below their targets and earned performance payments of more than $315 million.
  • An additional 89 ACOs kept spending below their targets, but did not produce enough savings to meet the minimum threshold to earn a bonus payment.
  • MSSP ACOs saved the Medicare Trust Funds a total of $465 million in 2014, an increase over the $383 million saved in 2013.
  • No ACOs in the Track 2 model, which is the two-sided risk model, owed CMS shared losses.
  • ACOs that reported in both 2013 and 2014 improved their performance on 27 of 33 quality measures.
  • Participants surpassed other Medicare fee-for-service providers' performance on 18 of the 22 Group Practice Reporting Option (GPRO) Web Interface measures.

Pioneer ACO performance year 3 results

  • Pioneer ACOs achieved total model savings of over $120 million--up from $96 million in Performance Year 2. Eleven ACOs qualified for shared savings of $82 million.
  • While five Pioneer ACOs generated losses, only three exceeded the minimum loss rate and owed the Medicare program shared losses of $9 million.
  • Pioneer ACOs raised their mean quality score from 85.2 percent in Year 2 to 87.2 percent in Year 3.
  • ACOs improved their performance in 28 of the 33 quality measures and showed average improvements of 3.6 percent across all quality measures compared to the second year of the program.
  • In the area of patient and caregiver experience, Pioneer ACOs improved their average performance score in five of seven measures compared to Performance Year 2.

 

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CMS Fact Sheet ACO Performance Results  Download  
CMS Press Release ACO Peformance Results  Download  
Total Files 2
File Size 212.87 KB
Create Date August 28, 2015
Last Updated August 28, 2015