Becker's Hospital Review

Sign up for the COMPLIMENTARY Becker's Hospital Review CEO Report & CFO Report E-Weeklies at www.BeckersHospitalReview.com or call (800) 417-2035 Chicago Health System ACO. Chicago Health System ACO became a Medicare Shared Savings Program ACO in July 2012. The organization is part of Vanguard Health Systems' Chicago Market, which includes four hospitals and a network of more than 100 physicians. The ACO had 9,700 attributed patients as of May 2013. Children's Hospital of Philadelphia. The Children's Hospital of Philadelphia is one of the first six ACOs to be accredited by the National Committee for Quality Assurance. It is the only children's hospital to become an accredited ACO. CHOP earned ACO accreditation due to its infrastructure that supports quality improvements, patient-centered care and care coordination. Cleveland Clinic Florida (Weston). Cleveland Clinic Florida is a nonprofit academic medical center with more than 215 physicians. In February 2013, the hospital and Blue Cross and Blue Shield company Florida Blue signed a letter of intent to form an ACO. The ACO plans to have a valuebased compensation structure, rewarding physicians for transparency, care coordination and lack of redundancies. Cornerstone Health Care (High Point, N.C.). Cornerstone Health Care is a physician-owned group with more than 360 providers. The group was named as a member of the Medicare Shared Savings Program in July 2012. It has several ACO contracts with private payers like Blue Cross and Blue Shield of North Carolina and UnitedHealthcare. In fact, as of May 2013, the group had value-based contracts with all of its payers. Crystal Run Healthcare ACO (Middletown, N.Y.). Crystal Run Healthcare is a multispecialty group practice, that was formed in 1996 and has about 250 physicians. Crystal Run Healthcare ACO is one if the first Medicare Shared Savings Program participants, starting in April 2012, and is also one of the first six ACOs accredited as such by the National Committee for Quality Assurance. Dartmouth-Hitchcock (Lebanon, N.H.). Dartmouth-Hitchcock is one of Medicare's original 32 Pioneer ACOs and covers slightly more than 17,000 patients. In its first performance year, the health system-anchored ACO saved enough money to receive about $1 million in shared savings from Medicare. Dartmouth-Hitchcock participated in the Medicare Physician Group Practice Demonstration, which preceded the Pioneer model, and has similar value-based arrangements with private payers. Additionally, Dartmouth-Hitchcock co-created OneCare Vermont with Fletcher Allen. Dean Clinic and St. Mary's Hospital ACO (Madison). St. Mary's Hospital in Madison and its affiliated physician group with more than 100 physicians, Dean Clinic, formed a joint venture to launch an ACO, which joined the Medicare Shared Savings Program in July 2012. The ACO services patients in south central Wisconsin. Diagnostic Clinic Walgreens Well Network (Tampa Bay, Fla.). Diagnostic Clinic Walgreens Well Network is a partnership between Walgreen Co. and Diagnostic Clinic, a multispecialty medical group that is a wholly owned subsidiary of Florida Blue. CMS accepted the organization as a Medicare Shared Savings Program participant in 2013. It is one of Walgreens' three MSSP ACOs. Dignity Health (San Francisco). Dignity Health is the fifth largest hospital operator in the nation and has several accountable care efforts in motion. For instance, Dignity launched an ACO in Sacramento in 2010 with Blue Shield of California and Hill Physicians that covers more than 40,000 individuals. The system has another ACO contract with BS of California in San Francisco as well. Dignity also partnered with Phoenix-based Abrazo Health for a Medicare Shared Savings ACO, Arizona Care Network, in January. Essentia Health (Duluth, Minn.). Essentia Health was chosen in July 2012 to participate in the Medicare Shared Savings Program as an ACO with more than 33,000 covered lives. Additionally, Essentia's ACO is one of only six in the nation to receive ACO accreditation from the National 23 Committee for Quality Assurance. As of January 2013, Essentia provides ACO care to more than 100,000 patients through multiple payer contracts. Everett (Wash.) Clinic. Everett Clinic is a physician group practice with about 400 physicians. The group formed an ACO in November 2012 to serve Group Health's Medicare Advantage Members. The Everett Clinic provides care for about 4,750 Group Health members. Fairview Health Systems (Minneapolis). Fairview was selected to participate in CMS' Pioneer ACO program late in December 2011, but the system pursued the ACO model even before that through its Fairview Health Network. There are more than 350 providers participating in Fairview's Pioneer ACO, which covers more than 18,000 Medicare beneficiaries. Franciscan Alliance (Mishawaka, Ind.). Franciscan Alliance, a 13-hospital system, has three Medicare ACOs: one in the Pioneer program and two in the Medicare Shared Savings Program. Each is comprised of various Franciscan Alliance hospitals, affiliated physician groups and surgery centers. The Pioneer ACO covers more than 20,000 lives and is the only Pioneer in Indiana. The MSSP ACOs are the Franciscan AHN ACO, which joined the MSSP in July 2012, and Franciscan Union ACO. Genesys Physician Hospital Organization (Flint, Mich.). The Genesys Physician Hospital Organization, a collaboration between Genesys Health System and Genesys Physicians Group Practice, was created in 1994. It includes about 160 primary care and 400 specialist physicians. CMS selected the PHO as one of the original 32 Pioneer ACOs in late 2011. Greater Baltimore Health Alliance (Towson, Md.). The Greater Baltimore Health Alliance is wholly owned by Greater Baltimore Medical Center Healthcare and anchored by the 310-bed medical center. GBHA, the first ACO in Maryland to be led by a hospital, joined the Medicare Shared Savings Program in July 2012. GBHA also includes Greater Baltimore Medical Associates, Greater Baltimore Geriatric and Palliative Medicine and more than 90 primary care providers from eight independent practices. Hackensack (N.J.) Alliance ACO. Hackensack University Medical Center, a nonprofit teaching hospital, anchors the Hackensack Alliance ACO. Hackensack Alliance was established to participate in the Medicare Shared Savings Program and was named one of the original MSSP participants in April 2012. Health4 (Columbus). Health4 is a clinically integrated healthcare delivery model that includes about 1,600 physicians of The Medical Group of Ohio and OhioHealth's hospitals. The Health4 program was formed in 2009, and in 2011, it announced a collaboration with Medical Mutual, an Ohiobased health insurer. In 2012, Health4 launched a pay-for-quality initiative with Cigna, which will cover more than 17,000 Cigna enrollees. HealthCare Partners California ACO (Torrance, Calif.). Healthcare Partners California ACO is affiliated with HealthCare Partners Medical group. The ACO includes more than 1,200 employed and affiliated primary care physicians and more than 30,000 employed and contracted specialists. The ACO was one of the original 32 Medicare Pioneer ACOs, but was one of nine to announce its departure from the Pioneer program in July 2013. It also has a commercial ACO agreement with Monarch Healthcare and Anthem Blue Cross. HealthCare Partners of Nevada (Las Vegas). HealthCare Partners of Nevada is a multispecialty independent physician organization with more than 200 primary care physicians and roughly 1,700 specialists. The group was named to the Medicare Pioneer ACO program in late 2011, but was one of nine to announce its exit the Pioneer program in July 2013. HealthPartners (Bloomington, Minn.). HealthPartners is comprised of a multispecialty group practice with more than 1,700 physicians and five hospitals. HealthPartners is part of The Northwest Metro Alliance, an ACO learning lab that is a collaboration between HealthPartners and

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