Becker's Hospital Review

Clinical Integration & ACOs 24 CMS Names 123 New Medicare Shared Savings ACOs By Heather Punke C MS has named 123 new accountable care organizations in its Medicare Shared Savings Program, effective Jan. 1. This is the largest group of new MSSP ACOs that Medicare has announced since the program started in April 2012. The new batch of ACOs will cover 1.5 million more Medicare beneficiaries, bringing the total number of lives covered by Medicare ACOs to more than 5.3 million. More than half of the new participants are physician-led organizations serving fewer than 10,000 beneficiaries, and about one in five include community health centers, rural health clinics and critical access hospitals. Some of the health system-led ACOs include those of Lubbock, Texas-based Covenant Health Partners, Durham, N.C.-based Duke Medicine, Rochester (N.Y.) General Health System and Scottsdale (Ariz.) Health Partners, a partnership between Scottsdale Healthcare and Scottsdale Physician Organization. For organizations interested in applying to be in the next class of Shared Savings Program ACOs, the application period will be this summer. n 10 States With the Most Physicians 60 or Older By Heather Punke T he United States is aging, and so are its physicians: 27.6 percent of the nation's physicians are 60 years old or older, according to the Association of American Medical Colleges' 2013 State Physician Workforce Data Book. Some states have a higher proportion of physicians nearing retirement than others, meaning they feel the physician shortage more acutely as older physicians exit the workforce. Survey: Number of Providers in ACOs to Double by 2016 By Molly Gamble W ithin six months, the number of hospitals and health systems that  joined or created an ACO grew by roughly 5 percent, according to Premier's 2013 Fall Economic Outlook. The survey also found the number of providers who will have an ACO in place by the end of this year, as they reported in the spring, will fall short. Still, population health has been pushed to the forefront of many executives' priorities, as 12 percent of health system CEOs called population health their top strategic issue in a Premier member survey. Last year, that figure stood at 3 percent. Premier commissioned the online survey in summer 2013. The 454 respondents included a representative sample of members across geography, organization size and organization type. Members of the Csuite accounted for nearly 30 percent of responses, while supply chain, service line and administrative managers also comprised a majority of responses. Italicized figures represent the findings for the same questions from Premier's 2013 Spring Economic Outlook. Time until the organization joins or creates an ACO: • e already have an ACO in place — 26.6 percent (compared to W 21.9 percent in spring 2013) • y the end of 2013 — 7.2 percent (compared to 14.3 percent in B spring 2013) • y the end of 2014 — 21 percent (compared to 18 percent in B spring 2013) • y the end of 2015 — 10.6 percent (compared to 9.7 percent in B spring 2013) • y health system will not be creating or joining an ACO in the M foreseeable future — 23.1 percent (compared to 26.5 percent in spring 2013) n The following 10 states have the highest proportion of physicians 60 or older. 1. New Mexico — 33.3 percent 2. California — 31.5 percent 3. Montana — 31.2 percent 4. Maine — 30.5 percent 5. Hawaii — 30.5 percent 6. West Virginia — 30.1 percent 7. New Jersey — 30.1 percent 8. New York — 30 percent 9. Oklahoma — 29.7 percent 10. Maryland — 29.4 percent North Carolina had the fewest amount of physicians 60 or older, as just 22.6 percent of its physicians are in that age bracket. n Becker's Hospital Reivew 5th Annual Meeting May 15-17, 2014 Swissôtel • Chicago, Illinois Co-Chaired by Chuck Lauer and Scott Becker 100+ sessions and 190+ speakers For more information visit, www.BeckersHospitalReview.com

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