Issue link: https://beckershealthcare.uberflip.com/i/717576
25 Health Choice Preferred (Phoenix). Health Choice Preferred is a subsid- iary of IASIS Healthcare, a 16-hospital system based in Franklin, Tenn. With more than 2,000 physicians and advanced practitioners, 10 aligned hospitals and more than 100,000 patients spanning four states, Health Choice Preferred's claim to fame is that it is one of the largest ACOs in the southwestern U.S. Its accountable care partners include Humana, Regence Blue Cross and Blue Shield of Utah and Cigna. It also agreed in December 2014 to launch a pediatric ACO with Phoenix Children's Care Network. Henry Ford Physician ACO (Detroit). Henry Ford Health System care- fully evaluated ACO opportunities for several years before diving in, according to Charles Kelly, DO, president and CEO of Henry Ford Phy- sician Network. e health system ultimately found what it was looking for in CMS' Next Generation model and was selected to begin in the program in January. Dr. Kelly, who leads the ACO, said the model was attractive because of the flexibility it offers both patients and physicians. e Henry Ford Physician ACO, which includes all six HFHS hospitals, employed physicians, physicians from its medical group, select private practice physicians, dozens of clinics and affiliated skilled nursing facili- ties, covers more than 20,000 patients in southeast Michigan. Heritage California ACO (Regal Medical Group (Northridge, Calif.). Heritage California ACO is operated by the Heritage Provider Network, which includes 10 medical groups and independent physician associa- tions in southern, central and coastal California. It got its start in the Pioneer program and covered 88,000 patients. Heritage California ACO made the leap to the Next Generation model in January. e ACO an- nounced in July it would only partially participate in the program this year, but plans to ramp up to full participation in 2017. HSHS ACO (Springfield, Ill.). Hospital Sisters Health System was among 100 other newcomers to the Medicare Shared Savings Program in January. e HSHS ACO will cover more than 21,000 patients. HSHS was driven to join the program because it helps streamline several of its strategic goals, which include expanding its medical group and popula- tion health activities, and further developing its Physician Clinical Inte- gration Network, which formed in 2011. Integrated Health Network of Wisconsin (Brookfield). IHN launched Wisconsin's first clinically integrated ACO in 2010 under the name Quality Health Solutions. By the time it changed its name to IHN in 2014, the ACO included more than 4,500 physicians, 450 clinics and 34 hospitals across the state. Today, IHN has approximately doubled to 8,400 providers, 1,180 clinics and 53 hospitals, which include many big names in Wisconsin like Agnesian HealthCare, Columbia St. Mary's, Froedtert Health, Hospital Sisters Health System, e Medical College of Wisconsin, Ministry Health Care, SSM Health and Wheaton Franciscan Healthcare. Most recently, IHN expanded its ACO contract with United- Healthcare to cover 30,000 Medicare Advantage beneficiaries. Iowa Health Accountable Care (West Des Moines). Iowa Health Ac- countable Care, which is doing business as UnityPoint Health Partners has a history of ACO experience. e Fort Dodge, Iowa-based branch of UnityPoint Health System is home to one of the country's first ACOs, the Trinity Pioneer ACO, which not only had the smallest pool of beneficia- ries among the ACOs in the program, but also was one of the most rural. is ACO transitioned in January into the Next Generation program and was recently lauded by HHS Secretary Sylvia Burwell as a great exam- ple for the rest of the nation. UnityPoint Health Partners ACO has also worked with UnitedHealthcare, Wellmark Blue Cross and Blue Shield of Iowa and the state of Iowa for its Medicaid ACO. John Muir Health (Walnut Creek, Calif.). Aer trying its hand at the Medicare Shared Savings Program for three years — with success, split- ting $20.7 million in savings with CMS — John Muir Health chose to leave the program for a Medicare Advantage HMO program and other commercial ACO contracts. e system operates ACOs with Blue Shield of California and Health Net of California. It collaborated with UCSF Medical Center in San Francisco on the Bay Area Accountable Care Net- work, which added seven new hospitals and three new medical groups this year and was renamed Canopy Health. is venture now includes more than 4,000 physicians and plans to offer ACO plans in fall 2016. Johns Hopkins Medicine Alliance for Patients (Glen Burnie, Md.). JMAP has been in the Medicare Shared Savings Program since January 2014. It includes nearly 3,000 medical providers. In 2014, JMAP earned a perfect score for quality reporting and saved taxpayers more than $5 million, though it did not share in any savings. e organization's nick- name, JMAP, also serves as a reminder of its mission: Jointly Managing and Addressing our Patients' needs. KentuckyOne Health Partners (Louisville, Ky.). KentuckyOne started in the Medicare Shared Savings Program in 2013. It covers 80,000 pa- tients in Kentucky as well as some regions in Indiana and Ohio, and is the largest ACO in the state of Kentucky. During its 2014 performance year, KYOne Health Partners earned $2.1 million in shared savings. KYOne Health Partners also contracts with Humana and Passport Health Plan. is year, it brought on Stephanie Mayfield Gibson, MD, former state health commissioner, to serve as CMO. Lahey Clinical Performance ACO (Beverly, Mass.). Lahey Clinical Per- formance ACO is in its fourth year in the Medicare Shared Savings Pro- gram. In its first performance year, it did not earn shared savings, but in its second year, the ACO brought home $5.18 million. ese savings were distributed 50-50 between the ACO's infrastructure and its payments to ACO participants. e ACO includes 34 physician practices. Lahey has also partnered with CareWell Urgent Care, CVS/Caremark, Honoring Choices Massachusetts and Waltham, Mass.-based St. Joseph's Hospital. Maryland Collaborative Care (Silver Spring, Md.). Maryland Collab- orative Care is a Medicare Shared Savings Program ACO managed by White Plains, N.Y.-based Collaborative Health Systems, a subsidiary of Universal American. It has more than 50 participating practices and pri- marily serves the counties surrounding Baltimore and Washington, D.C. e ACO has seen a good amount of success so far — it has advanced into the second track of the program and taken on the associated risk. e ACO generated $4.5 million in shared savings in its second perfor- mance year, according to the most recent available data. It chose to fun- nel the vast majority of those savings — 70 percent — back into resources and processes to redesign care. e remaining portion was split between infrastructure investments and providers. MedStar Accountable Care (Baltimore). MedStar Accountable Care is affiliated with MedStar Health, a 10-hospital system in the Washington, D.C., area. Along with 100 other organizations, the system joined the Medicare Shared Savings Program this year. However, unlike many other new starters, MedStar jumped right into Track 3 of the program, which is the most advanced in terms of financial risk. e ACO's 1,500 providers serve regions in Maryland, Virginia and Washington, D.C. Memorial Hermann ACO (Houston). Since July 2012, Memorial Her- mann has been in the Medicare Shared Savings Program. Its Medicare ACO spans nearly 130 provider practices. It held the No. 1 spot among 333 MSSP ACOs in 2014 for shared savings, bringing home a total of $22.72 million. e ACO also currently operates a partnership with Aet- na, called Aetna Whole Health, which has been in the works since 2013. at September, it also signed a contract with Blue Cross Blue Shield of Texas. Most recently, Memorial Hermann added another commercial ACO with UnitedHealthcare that covers 120,000 people. MemorialCare Regional ACO (Fountain Valley, Calif.). Anthem Blue Cross and MemorialCare Medical Foundation formed an ACO in 2014 focused on providing coordinated treatment to Orange County, Calif.,