Becker's Hospital Review

Becker's Hospital Review October 2015

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106 2014 ranked by shared savings payments, earning $8.02 million. is January, ProHEALTH Care Associates announced plans to expand its coordinated care portfolio through a partnership with UnitedHealthcare that covers more than 35,000 employer-spon- sored plan participants. ProMedica (Sylvania, Ohio). ProMedica's ACO, ProMedica Physician Group, began in the Medicare Shared Savings Program in July 2012. ProMedica's nationally recognized patient-centered medical home care model was used as a basis for the organi- zation. In the last performance year, ProMedica participated in Track 1 of the program and coordinated care for more than 16,800 Medicare beneficiaries. Renaissance Physician Organization (Houston). Renaissance Physician Organization is one of the largest independent physi- cian associations in Houston, and with 2,135 participating phy- sicians, its ACO is one of the largest in the country by physician network size, according to SK&A. It launched a collaborative care effort in 2012 with Cigna that includes 2,094 physicians. RGV ACO Health Providers (Donna, Texas). Rio Grande Val- ley ACO Health Providers joined the Medicare Shared Savings Program in April 2012. e ACO oversaw care coordination for more than 7,000 beneficiaries in Track 2 of the program in 2014, earning $7.5 million in shared savings payments. RGV ACO Health Providers physicians practice at 22 clinics in Donna and the surrounding area. Robert Wood Johnson Partners (New Brunswick, N.J.). Robert Wood Johnson Partners is a clinically integrated network that is the product of a New Brunswick-based collaboration between Robert Wood Johnson University Health System and Rutgers University. Its network comprises more than 130 practices and 750 physicians. In January 2014, Robert Wood Johnson Partners launched as a Medicare Shared Savings Program ACO for about 8,500 beneficiaries. Scripps Health (San Diego). Scripps Health first launched the Scripps Integrated Delivery Network, an ACO-like organiza- tion, with North American Medical Management in 2011. e IDN now includes more than 2,200 physicians. is January, the four-hospital system announced it was entering another collabo- rative care endeavor with Cigna for more than 10,000 beneficia- ries. is partnership includes 750 primary care physicians and specialists. SouthEast Michigan Accountable Care (Dearborn). SEMAC is a physician-owned healthcare organization launched in July 2012 by a group of private-practice physicians. It participated in Track 1 of the Medicare Shared Savings Program in 2014 with nearly 13,000 assigned beneficiaries. SSM ACO (St. Louis). SSM ACO, the collaborative care pro- gram for SSM Health, became a Medicare Shared Savings ACO in January 2014. is ACO oversees the care of approximately 22,500 beneficiaries in Missouri and Illinois. In March 2014, SSM Health also joined Missouri Anthem Blue Cross and Blue Shield's ACO-like patient-centered care program, Enhanced Personal Health Care. e nonprofit Catholic health system also joined Brookfield-based Integrated Health Network of Wiscon- sin's clinically integrated network earlier this year. As part of the agreement, SSM Health became part of IHN's ACO. Steward Promise (Boston). Steward Promise is Steward Health Care Network's Pioneer ACO. With 2,500 primary care physi- cians and specialists, Steward Health Care Network is the second largest physician network in Massachusetts. Steward Promise was able to deliver savings in its first reporting year, 2012, and in 2014 generated $5.95 million in gross savings for CMS. Tenet Healthcare (Dallas). is for-profit system has dipped its toes in several accountable care waters around the country. e Michigan Pioneer ACO in Southfield, which is affiliated with Tenet's Detroit Medical Center, was the No. 4 Pioneer in shared savings in 2014, earning $9.82 million. Tenet's partnership with Humana, which includes 2,351 providers, is one of the largest ACOs in the country, according to SK&A. Tenet and Humana announced the launch in July 2014 of an ACO for Humana's Medicare Advantage beneficiaries in Atlanta. e system also has ACO contracts with Florida Blue and Cigna for its Florida-based ACO, Advantage Health Network; a contract with Blue Cross Blue Shield of Texas for a statewide Texas ACO; and a contract with Blue Shield of California. Texas Health Resources (Arlington). Texas Health Resources and North Texas Specialty Physicians together in 2012 launched the Pioneer ACO Plus that le the program with nine other ACOs in 2013. However, the system continued in a number of accountable care efforts with commercial payers Cigna, Aetna, and Blue Cross Blue Shield of Texas. is year, Texas Health Re- sources announced it would combine ACO efforts with five other healthcare systems in the Dallas-Fort Worth area to form a joint ACO, named Forward Health Partners. Texas Health Resources also announced plans in June for its hospitals to become partici- pants in Premier Patient Health Care's existing Medicare Shared Savings Program ACO. Triad HealthCare Network (Greensboro, N.C.). e Triad HealthCare Network, a partnership between community phy- sicians and Greensboro-based Cone Health System, joined the Medicare Shared Savings Program in July 2012. Triad Health- Care Network participated in Track 1 of the program in 2014, covering almost 36,000 assigned beneficiaries. UnityPoint Health (Des Moines, Iowa). UnityPoint is affiliat- ed with multiple ACOs. UnityPoint Health Partners has been a Medicare Shared Savings Program participant since July 2012. at ACO covers approximately 80,800 beneficiaries residing in Illinois, Iowa and Missouri. Its Fort Dodge, Iowa-based Trinity Pioneer ACO is one of the most rural Pioneer ACOs and has the smallest pool of beneficiaries with about 9,350 patient members.

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