Becker's Hospital Review

Becker's Hospital Review October 2015

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104 of Medicine, launched a collaborative care initiative in May for 5,600 Cigna plan members. is agreement nearly tripled its value-based care arrangements. Following its 2014 merger with Winfield, Ill.-based Cadence Health, Northwestern Medicine launched Cadence Health ACO earlier this year as part of the Medicare Shared Savings Program, which serves 18,000 benefi- ciaries. Ochsner Accountable Care Network (New Orleans). e Ochsner Accountable Care Network connects seven hospitals, 38 health centers and more than 900 physicians across Louisi- ana with the aim to better coordinate care for more than 21,000 Medicare beneficiaries. e organization has been part of the Medicare Shared Savings Program since January 2013. OhioHealth (Columbus). e 18-hospital OhioHealth system and e Medical Group of Ohio, together known as Health4, collaborated in 2011 to launch a 2,300-physician ACO with the Cleveland-based payer Medical Mutual. A year later, Health4 launched a second collaborative care initiative with Cigna for more than 17,000 beneficiaries. In 2014, it launched yet another accountable care agreement with Humana for 41,000 Medicare Advantage members. OneCare Vermont (Colchester, Vt.). OneCare Vermont is the product of a collaboration between Dartmouth-Hitchcock in Lebanon, N.H., and the University of Vermont Medical Center in Burlington. In 2014, its second performance year, it coordinated care for about 55,000 of the state's Medicare beneficiaries as part of the Medicare Shared Savings Program. With 2,029 participat- ing physicians, it is one of the country's largest ACOs by physi- cian network size, according to healthcare research firm SK&A. Orange Accountable Care of South Florida (Miami). Orange Accountable Care of South Florida joined the Medicare Shared Savings Program to better coordinate care in one of the country's most expensive Medicare markets. It started in the program in January 2014, and in its first performance year it served more than 7,700 Medicare beneficiaries. Orlando (Fla.) Health. Orlando Health and its affiliated medical group Physician Associates formed the nonprofit health system's first ACO, Collaborative Care of Florida, in January 2013 as part of the Medicare Shared Savings Program. It was Florida's first hospital-based ACO. In 2014, Collaborative Care of Florida earned $2.4 million in shared savings in Track 1 of the model. Orlando Health has also launched commercial accountable care efforts with Cigna and Florida Blue. OSF HealthCare System (Peoria, Ill.). OSF Healthcare System operates a Pioneer ACO that earned almost $4.9 million in shared savings in 2014 and ranked fih for overall quality com- pared to other ACOs in the program. In 2013 the health system launched its first commercial accountable care agreement with Blue Cross Blue Shield of Illinois for 40,000 beneficiaries. Palm Beach Accountable Care Organization (Palm Springs, Fla.). Palm Beach ACO, a Medicare Shared Savings Program organization with 110 primary care physicians and 95 specialists, was second only to one other MSSP ACO, Memorial Hermann, in 2014 for shared savings, earning $14.5 million. It started in the program in July 2012 and served almost 35,000 beneficiaries in 2014, its third performance year. Park Nicollet Health Services (St. Louis Park, Minn.). Before becoming an ACO, Park Nicollet participated in the five-year Physician Group Practice Demonstration, CMS' first Medicare pay-for-performance program for physicians. As part of this program it achieved benchmark performance on all 32 quality measures. en in 2011, Park Nicollet was named to the first cohort of 32 Pioneer ACOs. e most recent data available from 2014 shows Park Nicollet's Pioneer ACO serves more than 13,000 beneficiaries and earned $1.8 million in shared savings. e system additionally launched a commercial ACO in 2012 with nonprofit payer Medica. Partners for Kids (Columbus, Ohio). Partners for Kids was first created in 1994 as a physician-hospital organization between Columbus-based Nationwide Children's Hospital and com- munity-based pediatricians. It later launched a pediatric ACO for roughly 300,000 Medicaid-eligible children. In February, Pediatrics published a study revealing Partners for Kids had successfully slowed cost growth as compared to other Medicaid fee-for-service programs and managed care plans. Partners HealthCare (Needham, Mass.). With 3,727 partic- ipating physicians, Partners HealthCare's Pioneer ACO was the largest ACOs in the country last year by physician network size, according to SK&A's 2014 report. As one of the original Pioneers, 2014 was its third performance year. It served nearly 70,000 patients and earned the second most shared savings in its program, receiving a total of $13.22 million. e Physician Organization of Michigan ACO (Ann Arbor, Mich.). Known as POM ACO for short, the Physician Organiza- tion of Michigan ACO cares for more than 122,000 patients with 3,033 providers from 12 physician organizations as part of the Medicare Shared Savings Program, which it joined in January 2013. It is one of the country's largest ACOs. Last year, it earned the third most shared savings payments in the program, totaling $12.08 million. ProHEALTH Accountable Care Medical Group (Lake Suc- cess, N.Y.). ProHEALTH Care Associates, one of the New York metropolitan area's largest integrated physician group practices, launched an ACO in the Medicare Shared Savings Program in 2012. e latest data available shows ProHEALTH was No. 1 in overall quality in the program with a score of 95.41 percent in 2014. It was also among the top five ACOs in the program in

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