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The Top 10 ACOs Ranked By Earned Payments

Posted by Matthew Smith on Dec 9, 2014 10:39:00 AM

ACO, Accountable Care Organization, MSSP, Top 10The list below, compiled from CMS' Medicare Shared Savings Program ACO Performance Year 1 dataset, shows the top 10 ACOs ranked by earned payments. Each ACO started its program agreement in 2012 and earned its performance payments by providing complete and accurate reporting for all quality measures. Earned shared savings equal 50% of the ACO's generated savings (minus an adjustment for sequestration). The information reflects totals as of October 2014.

1. Memorial Hermann Accountable Care Organization

State: Texas
Earned Shared Savings payments: $28,338,705
Assigned beneficiaries: 34,430
Generated savings: $57,834,092
Savings as percent of benchmark: 11.5%

2. Palm Beach Accountable Care Organization

State: Florida
Earned Shared Savings payments: $19,388,729
Assigned beneficiaries: 36, 268
Generated savings: $39,568,835
Savings as percent of benchmark: 6.5%

3. Catholic Medical Partners - Accountable Care IPA

State: New York
Earned Shared Savings payments: $13,682,060
Assigned beneficiaries: 33, 253
Generated savings: $27,922,572
Savings as percent of benchmark: 7.0%

4. SEMAC

State: Michigan
Earned Shared Savings payments: $12,094,617
Assigned beneficiaries: 17,303
Generated savings: $24,682,891
Savings as percent of benchmark: 9.1%

5. RGV ACO Health Providers

State: Texas
Earned Shared Savings payments: $11,900,756
Assigned beneficiaries: 7,089
Generated savings: $20,239,381
Savings as percent of benchmark: 14.4%

6. ProHEALTH Accountable Care Medical Group

State: New York
Earned Shared Savings payments: $10,737,854
Assigned beneficiaries: 28,651
Generated savings: $21,913,987
Savings as percent of benchmark: 6.1%

7. Triad HealthCare Network

State: North Carolina
Earned Shared Savings payments: $10,537,755
Assigned beneficiaries: 40,944
Generated savings: $21,505,622
Savings as percent of benchmark: 4.6%

8. WellStar Health Network

State: Georgia
Earned Shared Savings payments: 9,738,884
Assigned beneficiaries: 45,732
Generated savings: $19,875,274
Savings as percent of benchmark: 3.7%

9. MaineHealth Accountable Care Organization

State: Maine
Earned Shared Savings payments: $9,406,443
Assigned beneficiaries: 48,273
Generated savings: $19,196,711
Savings as percent of benchmark: 3.3%

10: Accountable Care Coalition of Texas

State: Texas
Earned Shared Savings payments: $9,357,388
Assigned beneficiaries: 33,739
Generated savings: 19,096,711
Savings as percent of benchmark: 3.5%

proposed rule issued by CMS this past Monday, December 1, aims to encourage additional participation in the MSSP by reducing provider risk. The proposal, which is open to public comment until Feb. 6, states: "As shown in our impact analysis, we expect the proposed changes to result in a significant increase in total shared savings, while shared losses would decrease."

MSSP, Accountable Care, Population Health

Topics: ACO, MSSP, Accountable Care Organization, Top 10

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