January 2013

Five CHI Accountable Care Organizations Accepted into CMS Program


The Centers for Medicare and Medicaid Services (CMS) announced the acceptance of five CHI Accountable Care Organizations (ACOs) into their Medicare Shared Savings Program (MSSP). The Medicare Shared Savings Program is designed to improve care outcomes and increase the value of care by:

 

  • Promoting accountability for the care of Medicare Fee For Service (FFS) beneficiaries.
  • Requiring coordinated care for all services provided under Medicare FFS.
  • Encouraging investment in infrastructure and redesigned care processes.

 

MSSP will financially reward ACOs that lower their growth in health care costs while meeting performance standards for quality of care and putting patients first. MSSP programs will begin in the CHI markets of Tacoma, Kentucky, Nebraska–Alegent Creighton Health, Little Rock and Colorado, joining the Des Moines market, which began its MSSP program in July 2012.

 

As a result, CHI will have 125,000 MSSP members under a shared savings arrangement with CMS. This will bring CHI’s total membership in risk-based programs – programs in which financial risk is shared by providers and insurers, providing motivation to manage costs by keeping people as healthy as possible – to 200,000 (including programs through commercial and state Medicaid payer sources). For more information, contact Chris Stanley, MD, vice president of care management, or Juan Serrano, senior vice president of payer strategy and operations.