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 covers more than 80,000 Medicare beneficiaries. Three-hospital University of Michigan Health System also had a Pioneer ACO, but in July 2013 the ACO's physicians announced plans to join the MSSP model, POM ACO. Plus (Worth and Arlington, Texas). North Texas Specialty Physicians and Texas Health Resources were selected to participate in the Medicare Pioneer ACO program in 2011. NTSP is an independent physician association with more than 600 physicians, and THR is a nonprofit health system with 25 hospitals. The Plus Pioneer ACO was one of nine to announce its exit from the program in July 2013. PrimeCare Medical Network (Ontario, Calif.). PrimeCare is a large network of independently contracted physicians. The group, which includes more than 425 primary care physicians and more than 2,000 specialists, was selected as one of the 32 original Pioneer ACOs. In July 2013, PrimeCare announced it would exit the Pioneer program. ProHealth Physicians (Farmington, Conn.). ProHealth Physicians is a healthcare delivery system with more than 300 primary care providers. The network joined the Medicare Shared Savings Program in January 2013. A few months later, ProHealth signed an accountable care agreement with Aetna. That agreement includes Aetna's commercial members and Medicare Advantage members. ProMedica (Toledo). In 2012, ProMedica started participating in the Medicare Shared Savings Program as an ACO. The ACO has 237 ProMedica Physicians providers who serve more than 14,000 patients. The ACO was built on ProMedica's patient-centered medical home care model, which was recognized by the National Committee for Quality Assurance. Providence Health & Services, Southern California (San Francisco). Providence Health & Services, Southern California, which operates five acute-care hospitals, partnered with its affiliates Facey Medical Foundation and Facey Medical Group to form an ACO with Blue Shield of California. Facey Medical Group employs more than 160 physicians, and Facey Medical Foundation operates 10 multispecialty group clinics and two urgent care centers. The ACO covers about 16,500 Blue Shield HMO members. The contract will continue through 2015. Renaissance Health Network (Wayne, Pa.). The Renaissance Health Network is a clinically-integrated, physician-owned company with more than 250 family practice and internal medicine physicians throughout five counties in Pennsylvania. It is the only Pioneer ACO in Pennsylvania. RHN also has a pay-for-performance arrangement with Keystone Health Plan East, an Independence Blue Cross plan. Scott & White Walgreens Well Network (Temple, Texas). The Scott & White Walgreens Well Network is a partnership between Walgreens and Scott & White Healthcare, a physician-led system with more than 1,000 providers. Scott & White Walgreens Well Network became a Medicare Shared Savings Program member in January 2013, making it one of three Medicare ACOs involving Walgreens. Seton Health Alliance (Austin, Texas). Seton Health Alliance is a network of providers, including Seton Healthcare Family, an 11-hospital system, and Austin Regional Clinic. The group was selected as one of the original 32 Pioneer ACOs by CMS, but decided to leave the program in July 2013. Sharp HealthCare (San Diego). Sharp HealthCare was selected as Pioneer ACO in 2011. The system serves about 32,000 Medicare beneficiaries each year. Sharp's ACO includes seven hospital locations and two medical groups: Sharp Community Medical Group and Sharp Rees-Stealy Medical Group. St. Luke's Clinic Coordinated Care (Boise, Idaho). St. Luke's Clinic Coordinated Care is the ACO of St. Luke's Health System and is a joint venture between the system's hospitals and physicians. The organization was accepted into the Medicare Shared Savings Program in January 2013. It was the first Idaho-based ACO to be accepted into the program. 27 Steward Promise (Boston). Steward Promise is the Medicare Pioneer ACO of Steward Health Care System. Steward Health Care System includes 10 community hospitals and serves more than 1 million patients across 85 communities in Massachusetts. The ACO includes more than 2,400 care providers. Texas Health Resources (Arlington). Texas Health Resources is a network of 25 hospitals in the Dallas-Fort Worth area and includes more than 5,500 physicians with staff privileges. Texas Health announced two ACOs with commercial payers in January 2013: Aetna and Blue Cross Blue Shield of Texas. Texas Health's ACO with Aetna includes members in 10 counties, while the BCBSTX ACO includes members in 12 counties. Texas Health was involved in a Medicare Pioneer ACO, but was one of nine ACOs to announce its departure from the program in July 2013. Triad HealthCare Network (Greensboro, N.C.). The Triad HealthCare Network is a physician-led collaboration encompassing physicians employed by Greensboro-based Cone Health and other providers in the community. THN became a member of the Medicare Shared Savings Program in July 2012. More than half of the ACO's affiliated physicians are in private practice. UCLA Health ACO (Los Angeles). UCLA Health ACO is anchored by UCLA Health, which is comprised of the Ronald Regan UCLA Medical Center, UCLA Medical Center Santa Monica, Resnick Neuropsychiatric Hospital at UCLA and Mattel Children's Hospital UCLA, as well as the UCLA Medical Group. The system, which includes more than 2,000 physicians, was chosen to participate in the Medicare Shared Savings Program in January 2013. UnityPoint Health (Des Moines, Iowa). UnityPoint Health, formerly Iowa Health System, is involved in two Medicare accountable care models: the Pioneer ACO model and the Medicare Shared Savings Program. UnityPoint Health-Fort Dodge was chosen to participate in the Pioneer model as Trinity Pioneer ACO. UnityPoint Health-Cedar Rapids is a member of the shared savings program. The MSSP ACO has reduced ER visits at St. Luke's Hospital by 68 percent. University of Michigan Health System (Ann Arbor). University of Michigan's ACO includes more than 2,000 physicians from University of Michigan Medical School's Faculty Group Practice and IHA physician group in Ann Arbor. The Pioneer ACO achieved savings of 0.3 percent in its first year. In July 2013, after results from the Pioneers' first performance year were released, U-M Health System said the physician groups in the ACO plan to depart the Pioneer program and move to the Medicare Shared Savings Program. VirtuaCare ACO (Marlton, N.J.). VirtuaCare ACO is the Medicare Shared Savings ACO of Virtua, a four-hospital system in southern New Jersey. Virtua joined the Medicare Shared Savings Program in January 2013. Stephen J. Kolesk, MD, Virtua's senior vice president of clinical integration, oversees the ACO. Wellmont Integrated Network (Kingsport, Tenn.). Wellmont Integrated Network is the ACO of Wellmont Health System. The organization is made up of the primary care and specialty physicians of Wellmont Medical Associates and the Wellmont CVA Heart Institute, as well as the system's hospitals and other care facilities. It became a Medicare Shared Savings Program ACO in January 2013 and covers patients in northeast Tennessee and southwest Virginia. Wilmington (N.C.) Health. Wilmington Health is a multispecialty group that provides care in more than 30 specialties. The group launched an ACO agreement with Blue Cross and Blue Shield of North Carolina in July 2012, which was the first insurer-provider ACO of its kind in the region. In 2013, a Wilmington Health subsidiary, Physicians Healthcare Collaborative, joined the Medicare Shared Savings Program. n

• Cover