Becker's Hospital Review

24 CFO / FINANCE Why This $15M Gift to an LA Hospital Is so Unusual By Alia Paavola W hile a $15 million gi presented to Los Angeles-based Martin Luther King Jr. Community Hospital from the Weingart Foundation and the Ballmer Group in early January didn't attract much attention, it's actually quite unique, ac- cording to Inside Philanthropy. e two organizations pledged $7.5 million each to support physi- cian recruitment at the Southern LA hospital. e hospital is located in one of the poorest parts of the metropolitan area, and few physi- cians choose to start practices here, oen causing residents to seek basic care in emergency rooms. e gi is unique because out of all the charitable giving that pours into healthcare organizations, about $33 billion annually, very little goes toward ensuring low-income populations and people of color have access to basic care. Further, many of the philanthropic gis from wealthy donors like Steve Ballmer, the former CEO of Micro- so and LA Clippers owner, do not go toward underserved commu- nities. Instead, many of today's generous donors send their largest gis to their alma maters or top-tier big city hospitals where they received treatment. ere are numerous examples of this type of giving; notably Koch Industry Vice President David Koch's $100 million gi to New York City-based New York-Presbyterian Hospital, where he was once a patient and now serves as a board member; Former Merck President and CEO Roy Vagelos', MD, $250M donation to New York City- based Columbia University's medical school, where he obtained his medical degree; and hedge fund billionaire Jim Simons who has poured millions into autism research due to family experience. While there's nothing wrong with giving back to these top-tier hospitals, alma maters or familiar health causes, according to In- side Philanthropy, donors oen forget to make investments in un- der-funded, under-resourced institutions that serve low-income communities, such as MLKCH or community colleges. It is these underserved populations and under-resourced institu- tions that need funding to help mitigate health disparities. In partic- ular, in Southern Los Angeles, it is estimated that 1,200 physicians are needed to close the gap in care and about half of the patients seen at MLKCH report they don't have a regular physician. Donations like the ones to MLKCH will help more people have ac- cess to a regular physician. n 17 ACOs Join CMS' Next Generation Model By Morgan Haefner T here are 58 ACOs in CMS' Next Generation model for 2018, including 17 new participants, CMS data shows. Most ACOs participating in the Next Generation mod- el are veterans of the Medicare Shared Savings Program and the Pioneer ACO Model. This year, five of the Next Gener- ation ACOs are new to ACO programs, as pointed out by Hunter Sinclair, vice president of value-based care consult- ing at The Advisory Board. The Next Generation program re- quires taking on more financial risk than other ACO models. However, it also offers a bigger payoff. There were 44 ACOs participating in the 2017 Next Genera- tion program, as Prospect ACO CA dropped out early in the game. Another three dropped out ahead of 2018: Beacon Health, Monarch Health Plan and Premier ACO of Ohio. Below are the 17 ACOs joining the Next Generation model for 2018: 1. Accountable Care Coalition of Tennessee (Houston, Tex- as)* 2. Best Care Collaborative (Fort Myers, Fla.)* 3. CareMount ACO (Mount Kisco, N.Y.)* 4. Central Utah Clinic (doing business as Revere Health) (Pro- vo, Utah) 5. Health Leaders Medicare ACO Network (Baton Rouge, La.) 6. Lester E. Cox Medical Centers (Springfield, Mo.)* 7. Mary Washington Health Alliance (Fredericksburg, Va.) 8. NEQCA Accountable Care (Braintree, Mass.) 9. OneCare Vermont Accountable Care Organization (Col- chester, Vt.) 10. Primaria ACO (Indianapolis) 11. Primary Care Alliance (Mt. Dora, Fla.) 12. Reliance Next Gen ACO (Farmington Hills, Mich.) 13. Reliant Medical Group (Worcester, Mass.) 14. Seton Health Network (Austin, Texas)* 15. South Shore Physician Hospital Organization (South Weymouth, Mass.) 16. Torrance (Calif.) Memorial Integrated Physicians 17. UW Health ACO (Madison, Wis.) * These organizations are new to ACO programs n

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