Primary Partners to Participate as a Medicare Shared Savings Program Accountable Care Organization

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Primary Partners today announced it has been selected to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization (ACO), a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS).

Primary Partners ACO

3115 Citrus Tower Blvd. Clermont, FL 34711 (352) 394-5219

It’s an exciting time to be an ACO and be part of the future wave of integrated healthcare,‖ said Sheila Fusè, CEO of Primary Partners.

Primary Partners to participate as a Medicare Shared Savings Program Accountable Care Organization.

Voluntary, New Care Coordination Program Created to Offer High Quality Service and Care to Beneficiaries Through Partnership with Medicare

Clermont, FL – Primary Partners today announced it has been selected to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization (ACO), a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS).

Through the Shared Savings Program, Primary Partners will work with CMS to provide Medicare fee-for-service beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.

―It’s an exciting time to be an ACO and be part of the future wave of integrated healthcare,‖ said Sheila Fusè, CEO of Primary Partners.

The Shared Savings Program will reward ACOs that lower the rate of growth in health care costs for Medicare beneficiaries while meeting performance standards on quality of care and putting patients first. ACOs are groups of doctors and other health care providers working together to provide high quality service and care for their patients. Provider participation in an ACO is purely voluntary and Medicare beneficiaries retain their current ability to seek treatment from any provider they wish.
CMS will use robust quality measures to reward ACOs, including Primary Partners, LLC, for providing Medicare beneficiaries with a positive patient experience and better health outcomes, while also reducing growth in Medicare expenditures for the same patient population.

"Accountable Care Organizations will improve coordination and communication among physicians and other providers which will help improve care and lower costs for Medicare beneficiaries,‖ said Marilyn B. Tavenner, acting administrator of the Centers for Medicare & Medicaid Services. ―We are excited to welcome Primary Partners, LLC, as a partner with Medicare and look forward to working with them to improve care for Medicare beneficiaries in Florida."

Under the Shared Savings Program, 27 ACOs have entered into agreements with Medicare to take responsibility for the quality of care furnished to individual beneficiaries in return for the opportunity to share in any savings with the Medicare program for improved care.

The Shared Savings Program was created as part of the Affordable Care Act, the health care reform law of 2010, to better coordinate care for Medicare patients through ACOs. Instead of patients having to navigate the complex health system on their own, these ACOs will work hand-in-hand with patients to ensure patients do not slip through the cracks. ACOs will encourage providers to work more closely together than ever before and offer incentives to providers that better coordinate a patient’s care and treat patients across care settings—including doctors’ offices, hospitals, and other health care settings. The Shared Savings Program is not a Medicare Advantage plan or an HMO. Beneficiaries with fee-for-service Medicare will still have the right to use any doctor or hospital who accepts Medicare, at any time.

In addition to participation in the Shared Savings Program, Primary Partner, LLC, has also been selected to participate in the Advance Payment Model. Through the Advance Payment Model, Primary Partners, LLC, will receive additional access to capital that can be used to invest in infrastructure supporting care coordination, including staff or electronic health records. These funds will be recouped over time through future shared savings.

Today’s announcement is the culmination of a comprehensive selection process that began in the fall of 2011 with the national release of the Medicare Shared Savings Program application by CMS. Primary Partner, LLC was selected based on rigorous eligibility criteria and program requirements.

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Kevin Jakob
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