Issue link: https://beckershealthcare.uberflip.com/i/717576
20 100 Accountable Care Organizations to Know | 2016 By Brooke Murphy, Erin Dietsche and Emily Rappleye B ecker's Hospital Review is pleased to highlight a variety of Medi- care and commercial payer accountable care organizations, led by hospitals and health systems, physician groups and other organizations. ACOs cover approximately 28.3 million lives, according to January 2016 data from Leavitt Partners. As value-based care matures, it has become clear that not all ACOs are fit to survive. CMS data from 2014 shows just one in four ACOs qualified for shared savings and several have le Medicare programs. Other research indicates growing pains may be on the horizon. One study published in Health Affairs found physicians who participate in ACOs are more likely to practice in affluent areas — meaning value-based care has yet to touch some of the most vulnerable patient populations. But for now, ACOs are still experiencing relatively unbridled growth. In January, an additional 100 organizations joined the ranks of MSSP ACOs and 21 were selected to join CMS' newest model, the Next Generation. Overall, Leavitt Partners estimates three-fourths of early Medicare ACO adopters are continuing in at least one of the Medicare programs. On top of that, hospitals and health systems continue to ink value-based care agreements with commercial payers, which account for approximately 60 percent of lives covered by ACOs, according to Leavitt Partners. is is the fih year Becker's Hospital Review has published its list of ACOs to know. For this year's list, ACOs were selected for inclusion based on a number of factors, including quality and cost performance, participation in CMS' Next Generation Model, the Pioneer Model, ad- vanced tracks of the Medicare Shared Savings Program and if it has re- cently struck new commercial agreements. ACOs are presented in al- phabetical order and are either listed by formal name of the ACO or, if the organization has several contracts, by name of the health system or provider group associated with those ACOs. Accountable Care Coalition of North Texas (Fort Worth, Texas). With a network of nearly 50 individual practices, the Accountable Care Coa- lition of North Texas renewed its contract with CMS' Medicare Shared Savings Program in January. e ACO is one of just six Track 2 ACOs in the program, meaning it is responsible for some downside risk. Account- able Care Coalition of North Texas was able to generate $1.38 million in shared savings in performance year 2014, and it is currently funneling 100 percent of those savings back into its care processes and resources. Accountable Care Coalition of Southeast Texas (Houston). Comprised of 118 providers, the Accountable Care Coalition of Southeast Texas was chosen this year to participate in CMS' newest ACO program, the Next Generation Model. Under this model, ACCSETX will assume greater risk and have the opportunity to earn greater rewards while coordi- nating care for its more than 12,500 Medicare fee-for-service patients. ACCSETX was formed in partnership with White Plains, N.Y.-based Collaborative Health Systems, a subsidiary of Universal American. Its providers have participated in the Medicare Shared Savings Program and Medicare Advantage value-based arrangements through Universal American. Accountable Care Coalition of Southeast Wisconsin (Milwaukee). One of just six Track 2 Medicare Shared Savings Program ACOs, the Ac- countable Care Coalition of Southeast Wisconsin earned $8.67 million in shared savings in its first performance year and $4.43 million in its second year, performance year 2014. It was born through a collabora- tion between Milwaukee-based Independent Physicians Network and Universal American's White Plains, N.Y.-based Collaborative Health Systems. Accountable Care Collaborative (Colorado). Colorado is home to the longest-standing Medicaid ACO, according to e Commonwealth Fund. Known as the Accountable Care Collaborative, this Medicaid ACO is organized into seven Regional Care Collaborative Organiza- tions that develop networks of providers. ese providers create medical homes throughout the state for Medicaid members. e ACC achieved more than $37 million in net savings for fiscal year 2014-15, according to the Colorado Department of Health Care Policy & Financing. Accountable Care Options (Boynton Beach, Fla.). During its first year of operations in 2012, Accountable Care Options ACO succeeded in sav- ing more than $1,400 per beneficiary in the Medicare Shared Savings Program. Now, four years later, the ACO has progressed to the program's most advanced option, Track 3, which allows for greater risks and greater rewards as well as more flexibility and other incentives. Advocate Health Care (Downers Grove, Ill.). Advocate first began test- ing the ACO waters in a 2010 value-based contract with Blue Cross Blue Shield of Illinois. Two years later, it joined the Medicare Shared Savings Program, which now boasts nearly 280 participating practices. In 2014, Advocate rolled out an ACO agreement with UnitedHealthcare, which it expanded in 2015 from 5,500 beneficiaries to more than 80,000 ben- eficiaries. Aledade (Bethesda, Md.). Aledade, a startup launched by former Na- tional Coordinator for Health IT Farzad Mostashari, MD, is dedicated to helping independent physicians launch ACOs. Aledade rang in its second anniversary in June with a celebration of its growth. In one year, the company's number of Medicare Shared Savings Program ACOs has grown from two to seven. e company has been hard at work to expand partnerships and launch additional ACOs this year, including its first-ev- er commercial contract with Blue Cross Blue Shield of Louisiana. Alegent Health Partners (Omaha, Neb.) In its third year in the Medi- care Shared Savings Program, Alegent Health Partners is participating in Track 3, the option that includes the most risk and most reward. e ACO spans 18 hospitals, health systems and physician practices across Iowa and Nebraska. Sponsored by: