Becker's Hospital Review

97 first physician network in North Texas to do so. e first was with Blue Cross and Blue Shield of Texas, and UnitedHealthcare, Cigna and Aetna followed suit. Catalyst Health Network includes more than 175 providers. Cedars-Sinai Accountable Care (Beverly Hills, Calif.). is ACO was selected in 2013 for participation in the Medicare Shared Savings Program. It includes Cedars-Sinai Medical Center, Cedars-Sinai Medical Care Foundation and Communi- ty Cedars-Sinai Health Associates Physicians. omas Priselac serves as president and chairman of the board. Children's Hospital of Philadelphia. In 2013, CHOP became the first children's hospital in the country to receive accreditation as an ACO by the National Committee of Quality Assurance. e hospital achieved Level 2 ACO Accreditation by NCQA in March 2015, meaning the 535-bed children's hospital demon- strates efficiency, integration and high-quality care. Cleveland Clinic. Cleveland Clinic's ACO is new to the ranks of MSSP ACOs, joining in 2015. e ACO is comprised of Cleve- land Clinic-affiliated physicians as well as local independent phy- sicians. e health system also has a collaborative care agreement with Cigna, which was initiated April 2013. With more than 2,800 participating physicians, Cleveland Clinic's agreement with Cigna is among the 30 biggest ACOs by physician count, accord- ing to SK&A Insights. Crystal Run Healthcare (Middletown, N.Y.). More than 300 providers participate in the Crystal Run Healthcare ACO, one of the first 27 ACOs to participate in the MSSP. e ACO covers nearly 13,000 beneficiaries. Crystal Run Healthcare received Level 2 ACO Accreditation from the National Committee for Quality Assurance, the first in New York state and among the first six nationally to do so. Dartmouth-Hitchcock (Lebanon, N.H.). In its first perfor- mance year as a Pioneer ACO, Dartmouth-Hitchcock received slightly more than $1 million in shared savings from Medicare. e ACO recently rebranded itself, changing its name to allwell and expanding to include three additional New Hampshire hospitals. e health system also partners with University of Vermont's Fletcher Allen Health Care in Burlington to create OneCare Vermont, an ACO comprised of all 14 of Vermont's hospitals, two New Hampshire hospitals and hundreds of physi- cians covering approximately 95,000 patients. Dignity Health (San Francisco). In 2010, Dignity Health, then operating as Catholic Healthcare West, launched a pilot ACO program with University of California, San Francisco Medical Center and Hill Physicians Medical Group to coordinate care for more than 40,000 state employees. en, in 2011 the organiza- tions took on the care coordination of Blue Shield of California beneficiaries. Most recently, in 2014, Hill Physicians, Dignity and Blue Shield of California launched another ACO to cover 14,600 Blue Shield HMO members in San Joaquin County. Duke Connected Care (Durham, N.C.). Duke Connected Care launched in January 2014 as part of the Medicare Shared Savings Program. Anchored within Duke University Health System, the ACO also includes physicians affiliated with the university, Lincoln Community Health Center also in Durham, North State Medical Center in Roxboro, N.C., and several physician practic- es. In 2015, Cigna announced a collaborative care initiative with Duke Connected Care covering approximately 10,000 individu- als. Emory Healthcare (Atlanta). Emory Healthcare formed its first accountable care agreement with Blue Cross and Blue Shield of Georgia in 2014. Emory is the largest health system in the state, and BCBSGa is the state's largest payer. In April of this year, Emory Healthcare announced an accountable care agreement with Aetna. Essentia Health (Duluth, Minn.). Essentia Health joined Medicare's shared savings program in 2012, covering nearly 38,000 beneficiaries. In 2013, the health system was among the first six in the country to receive Level 2 ACO designation by the National Committee for Quality Assurance. In October 2013, the system achieved Level 3 designation, the highest level of accred- itation. Fairview Health Services (Minneapolis). A Pioneer ACO, Fairview Health Services manages the care of more than 13,000 Medicare beneficiaries. Approximately 275 providers from 46 Fairview Health Network clinics participate in the Pioneer ACO. Additionally, the system partnered with North Memorial Health Care in Robbinsdale, Minn., and payer Medica in 2013 to create a new ACO called Fairview and North Memorial Vantage with Medica. FamilyCare (Portland). FamilyCare, founded in 1984, now serves more than 115,000 Medicare and Medicaid eligible residents of Oregon. FamilyCare was awarded Oregon's first Medicare ACO contract and through its partnership with the Oregon Health Plan, also acts as a coordinated care organiza- tion. FamilyCare's provider network includes a wide variety of healthcare professionals that are committed to an osteopathic approach, which extends to the organization's support of osteo- pathic medical education. With more than 3,700 physicians in the network, it is one of the largest ACOs by physician network size, according to an SK&A report. Franciscan Alliance (Indianapolis). Franciscan Alliance, a 14-hospital system, has four Medicare ACOs: one in the Pioneer program and three in the Medicare Shared Savings Program. Each is comprised of various Franciscan Alliance hospitals, affiliated physician groups and surgery centers. e MSSP ACOs are the Franciscan AHN ACO, Franciscan Select Health Network ACO and Franciscan Union ACO. e system also has commer-

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