Becker's Hospital Review

93 100 Accountable Care Organizations to Know 2015 Becker's Hospital Review is pleased to highlight a variety of Medi- care and commercial payer ACOs, the majority of which are led by hospitals or health systems. Accountable care organizations now cover approximately 23 mil- lion lives, according to Leavitt Partners. As the ACO movement continues to grow, this year marks some growing pains: Recent CMS data shows just one in four ACOs qualified for shared savings in 2014, 27 Medicare Shared Savings Program ACOs dis- creetly le the program and Pioneer ACOs have dwindled to 19. Yet interest in ACOs and value-based care persists. In January, an additional 89 MSSP ACOs joined the ranks and 20 major health systems, payers and other stakeholders pledged to convert 75 percent of their business to value-based arrangements by 2020. In March, CMS launched its newest pilot, the Next Generation ACO. e estimated number of ACOs in public and private programs tops 740, according to Leavitt Partners, and if trends continue, ACOs have the potential to cover at least 75 million lives. is is the fourth year Becker's Hospital Review has published its list of ACOs to know. For this year's list, ACOs were select- ed for inclusion based on a number of factors, including the number of providers in the network, earned shared savings and quality scores in Medicare's ACO programs, the lifespan of the ACO, whether it has arrangements with multiple payers, and if it recently struck new payer agreements or joined a new model. ACOs are presented in alphabetical order and are either listed by formal name of the ACO or, if the organization has several con- tracts, by name of the health system or provider group associated with those ACOs. Accountable Care Coalition of Texas (Houston). Five provid- er groups comprise the Accountable Care Coalition of Texas, a Medicare Shared Savings Program participant that serves ap- proximately 70,000 beneficiaries. e ACO formed in 2012, and in its first year it realized total savings of $9.4 million. Account- able Care Coalition of Texas was formed in partnership with Collaborative Health Systems, a management services organiza- tion that helps physician partners coordinate care. Advocate Health Care (Downers Grove, Ill.). Advocate estab- lished its accountable care agreement, AdvocateCare, with Blue Cross Blue Shield of Illinois in 2010. In 2015, AdvocateCare was among the 30 ACOs with the largest physician participation, with 1,835 providers participating in value-based care agree- ments, according to SK&A Insights. e health system also joined the MSSP program in 2012, going by the name Advocate Physician Partners Accountable Care. More recently, Advocate established an ACO with UnitedHealthcare in September 2014. Allina Health (Minneapolis). Allina Health was one of the 32 original Pioneer ACOs named in 2011. ere are approxi- mately 210 primary care providers participating in the ACO. Allina Health also joined forces with Bloomington, Minn.-based HealthPartners to form the Northwest Metro Alliance, a collabo- rative ACO seeking to achieve the triple aim quicker with pooled resources. e alliance covers approximately 300,000 beneficia- ries. Aledade (Bethesda, Md.). Launched by former National Coor- dinator for Health IT Farzad Mostashari, MD, Aledade partners with independent primary care physicians to help them form and operate ACOs. Aledade currently operates two MSSP ACOs — Aledade Primary Care ACO and Aledade Delaware ACO, both in Bethesda and both started Jan. 1 — and also has partner- ships with practices and organizations in 11 states to help them launch and manage ACOs. Alexian Brothers ACO (Arlington Heights, Ill.). Alexian Brothers launched its MSSP ACO Jan. 1, 2013. As of 2014, the ACO included more than 1,300 participating providers covering more than 40,000 beneficiaries. In May 2014, Alexian Brothers received approval to form Medicaid accountable care entities, the state-level version of ACOs. en, in March of this year, the health system formed a new ACO with Blue Cross and Blue Shield of Illinois. American Health Alliance ACO (Jacksonville, Fla.). In January 2013, 21 primary care providers from 12 practices formed Amer- ican Health Alliance, an MSSP ACO covering more than 6,000 beneficiaries in north central Florida. Jay Panchal, MD, is the ACO's CEO and also sits on the board. e ACO was a found- ing member of the Florida Association of ACOs, an association seeking to align goals and physician incentives across the state. Atlantic ACO (Morristown, N.J.). Atlantic Health System and Ridgewood, N.J.-based Valley Health System jointly formed Atlantic ACO. More than 1,800 physicians participate in Atlantic ACO, which is part of the MSSP program. Atlantic ACO covers nearly 74,000 beneficiaries. On June 1, 2014, Atlantic ACO launched an accountable care model with UnitedHealthcare, becoming the payer's first ACO in New Jersey. Atrius Health (Newton, Mass.). Atrius Health is a nonprof- it physician alliance comprised of four medical groups. e alliance was named a Pioneer ACO in 2011. In 2014, the ACO

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