Issue link: https://beckershealthcare.uberflip.com/i/717576
27 rial Hermann. PBACO, which covers more than 51,000 Medicare lives, has 240 primary care physicians and 160 specialists. Park Nicollet Health Services (St. Louis Park, Minn.). Park Nicollet be- came one of the first of 32 Pioneer ACOs in 2011, but only aer taking part in the five-year Physician Group Practice Demonstration, CMS' first Medicare pay-for-performance initiative for physicians. At the beginning of 2016, Park Nicollet transitioned to become one of CMS' 21 Next Gen- eration ACOs. Data from 2014, the most recent year available, shows Park Nicollet generated $1.8 million and served more than 13,000 beneficiaries. Partners ACO (Needham, Mass.). Partners HealthCare's Pioneer ACO, Partners Community Healthcare, has 4,057 physicians, making it the second largest ACO by physician network size, according to SK&A data from October 2014. e same year, it was one of the Pioneer ACOs with the highest quality scores, receiving a score of 88.85 percent. Just this year, the ACO formed a governing committee to offer direction on over- all internal progress. Partners for Kids (Columbus, Ohio). Formed in 1994, Partners for Kids boasts the title of one of the oldest ACOs in the country. Partners for Kids launched a pediatric ACO and has thus far cared for 330,000 chil- dren in 34 counties in Ohio. As the nation's largest ACO, it currently stands as a partnership between Columbus-based Nationwide Children's Hospital and more than 1,000 physicians throughout the community. Physician Organization of Michigan ACO (Ann Arbor, Mich.). In Jan- uary 2013, POM ACO joined CMS' Medicare Shared Savings Program. Since then, the ACO has expanded to encompass 5,700 physicians and providers from 12 physician groups. POM ACO now cares for approxi- mately 12,000 Medicare Michiganders. In 2014, the latest year for which data is available, it generated $12.08 million in shared savings, making it the No. 3 earner in the MSSP. Pioneer Valley Accountable Care (Springfield, Mass.). Pioneer Valley Accountable Care, a Next Generation ACO, is affiliated with Spring- field-based Baycare Health Partners, a physician hospital organization. PVAC serves Medicare beneficiaries throughout western Massachu- setts. Its 20-member board of managers contains 13 physicians, three health system executives, two managed care organization executives, one consumer advocate and one Medicare fee-for-service beneficiary. ProHEALTH Accountable Care Medical Group (Lake Success, N.Y.). As one of the New York metropolitan area's biggest integrated physician group practices, ProHealth Care Associates was in an ideal position to launch an ACO in 2012. Part of the Medicare Shared Savings Program, ProHealth Accountable Care Medical Group was the No. 5 shared sav- ings generator in 2014, with $8.02 million in savings. In 2016, it ranked No. 1 among U.S. ACOs in both financial and quality performance, ac- cording to a United Hospital Fund report from April. ProMedica Health Network (Toledo, Ohio). ProMedica Health Network was formed on January 1, 2016 as an ACO in the Medicare Shared Sav- ings Program. Its primary service areas include Michigan and Ohio. e current chief ACO executive of ProMedica Health Network is Timothy Walsh, and its governing body is made up of 12 members. e shared savings are distributed with 20 percent going to infrastructure, 20 per- cent to redesign care processes and resources and 60 percent distributed to the ACO participants. Prospect ACO CA (Los Angeles). Prospect ACO CA is a subsidiary of Prospect Medical Holdings, which operates 13 acute care and behavioral hospitals in southern California, South Central Texas and Rhode Island. In January 2016, it was selected to be a Next Generation ACO. Prospect ACO CA currently operates in four California counties: Los Angeles, Or- ange, Riverside and San Bernardino. Qualuable Medical Professionals (Kingsport, Tenn.). A Medicare Shared Savings Program ACO, Qualuable Medical Professionals attained ACO status in February 2013. More than 500 primary care physicians and specialists from Highlands Physicians, Holston Medical Group, Medical Care, Mountain Regional Family Medicine and State of Franklin Healthcare make up Qualuable. In its second performance year — 2014 — Qualuable was one of the top MSSP ACOs for shared savings, gener- ating approximately $7.41 million. Rio Grande Valley ACO Health Providers (Donna, Texas). RGV ACO Health Providers is made up of clinics and physicians throughout four central and south Texas counties and one New Jersey county. Aer join- ing the Medicare Shared Savings Program in 2012, it has continued its excellent performance measures. In 2014, the ACO earned $7.5 million, making it was one of the top 10 MSSP ACOs for shared savings. Rio Grande Valley Health Alliance (McAllen, Texas). In 2011, Luis Del- gado Jr., MD, attended the Annual Assembly of the American Academy of Family Physicians, where he heard a presentation on ACOs by Julian "Bo" Bobbitt Jr. Aer the conference, Dr. Delgado called up six other in- dependent physicians, whom he convinced to form an ACO: Rio Grande Valley Health Alliance. Now part of the Medicare Shared Savings Pro- gram, RGVHA has 17 primary care physicians and earned $8.7 million in shared savings in 2014. Robert Wood Johnson Partners (New Brunswick, N.J.). With more than 500 subspecialty physicians and more than 200 primary care clinicians, Robert Wood Johnson Partners is a collaboration between Rutgers Uni- versity and Robert Wood Johnson University Health System. It launched in 2014 as an ACO in the Medicare Shared Savings Program. By the end of calendar year 2015, Robert Wood Johnson Partners had served nearly 37,500 beneficiaries. Aetna Whole Health Chicago. In October 2015, Aetna and Rush Health revealed plans to launch Aetna Whole Health Chicago, a commercial ACO that allows Aetna beneficiaries to decide whether they'd like to be part of the program. With premium costs 8 percent to 15 percent lower than those under Aetna's PPO, the ACO began to offer self-insured plans in March 2016 and fully insured plans in April. Aetna and Rush Health plan to offer the ACO plans on the Affordable Care Act exchange in 2017. Scripps Health (San Diego). In 2011, Scripps Health and North Amer- ican Medical Management created an organization similar to an ACO: the Scripps Integrated Delivery Network, which included seven physi- cian groups. Scripps decided to get involved with Cigna in January 2015; the system and the insurer launched a collaborative care agreement for more than 10,000 beneficiaries. e undertaking involved 750 physicians from Scripps Clinic and Scripps Coastal Medical Center. SERPA-ACO (Crete, Neb.). Nine practices joined together to launch SERPA-ACO in January 2013. Today, 14 clinics participate in SER- PA-ACO, or the South East Rural Physicians Alliance-ACO. In 2014, SERPA-ACO was one of the top 10 Medicare Shared Savings Program for quality, receiving a score of 93.57 percent. Steward Promise ACO (Boston). Steward Health Care Network's Pio- neer ACO was Steward Promise. Steward Promise earned $5.95 million in gross savings for CMS in 2014. In January 2016, CMS revealed Stew- ard Integrated Care Network would be one of 21 ACOs to participate in its Next Generation Accountable Care Organization Model. Summa Health – NewHealth Collaborative (Akron, Ohio). NewHealth Collaborative launched in 2012 as an ACO within the Medicare Shared Savings Program. In December 2015, Akron-based Summa Health and Cincinnati-based Mercy Health announced they were forming a "net- work of networks" called Advanced Health Select, which included Sum- ma and Mercy's ACOs: NewHealth Collaborative and Mercy Health Se-