Analysis of the 106 newly announced Medicare Shared Savings Program (MSSP) ACOs | Part 1

Date: 01.17.2013 | Zach Urbina">Zach Urbina

106 new Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO), were announced at the start of 2013. The program was designed to facilitate coordination and cooperation among a diverse set of providers to improve the quality of care for Medicare Fee for Service (FFS) beneficiaries and reduce unnecessary cost. This latest announcement brings the officially recognized ACO participants in the program to 250.

The 106 new ACOs in the MSSP will insure as many as 4 million Medicare beneficiaries. They also include a diverse cross-section of physician practices across the country in a variety of settings and are approaching the triple aim of accountable care from differing experience, perspectives, capabilities and strategies.

We examine a few of the ACOs in greater detail in this 2 part series that provides some insight into the different settings that the MSSP ACOs are emerging and the strategies that they are employing.

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  • Northeast Florida Accountable Care, also known as Orange Accountable Care, is one of the 14 newly authorized Advance Payment ACOs. The Advance Payment model was set up by CMS for smaller healthcare providers who lack ready access to the capital they need to offer coordinated care. Because of its large Medicare population, the Northeast part of Florida ranks among the top 20 percent most costly healthcare market in the US.
  • Serving Northeast Tennessee and Southwest Virginia, Wellmont Integrated Network, established their ACO with the background of a leading, integrated provider network. Wellmont is a not-for-profit whose health system includes trauma centers, an integrated hospital network, and robotic surgical services. Wellmont has been in operation since 1996.
  • The UCLA Health System Faculty Practice Group includes more than 1000 members in its academic practice and is ranked among the top performing medical groups in Southern California.
  • ProHealth Physicians ACO serves the state of Connecticut and is a loosely organized group of 209 practicing physicians, 112 nurse practitioners, operating from 80 locations across the state. Roughly half of all ACOs are physician-led organizations that provide care to fewer than 10,000 beneficiaries.
  • Indiana Lakes ACO is a partner of American Health Network and links together the rural communities of the states of Indiana and Ohio. Around 20 percent of ACOs include community health centers, rural health clinics, and critical access hospitals serving low-income and rural communities.

Later we return to examine the second part of our new ACO list.

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