National ACO LLC: Medicare Shared Savings Program Performance Year 2015 Quality and Financial Results

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CMS released 2015 Quality and Performance Results showing ACO’s continue to make significant improvements to quality of care.

The Centers for Medicare & Medicaid Services (CMS) today announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings.

In 2015, Medicare Accountable Care Organizations had combined total program savings of $466 million, which includes all Accountable Care Organizations’ experiences, for 392 Medicare Shared Savings Program participants and 12 Pioneer Accountable Care Organization Model participants. The results show that more Accountable Care Organizations shared savings in 2015 compared to 2014, and those with more experience tend to perform better over time.

Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.

National ACO LLC (NACO) is one of the ACOs that shared savings.

“As a physician owned and governed ACO that has achieved savings in 2013, 2014 and 2015, we will continue to develop, implement and refine forward-thinking and innovative programs that will lead to our goals of improving the patient’s experience of care, improving the health of populations and reducing the per capita costs of healthcare,” said Alex Foxman, M.D., F.A.C.P., President, Board Member and Medical Director of National ACO, LLC.

NACO generated over $6.9 million dollars in savings for CMS in 2015, totaling to an approximate $14.70 M over a consecutive three years in the MSSP program. Currently, National ACO has more than 156 physicians that provide services in California, Tennessee, and Pennsylvania.

“We are extremely thrilled to consistently generate shared savings and reward our participating providers who worked diligently to achieve the triple aim and excel in the rapid changes from volume to valued based care. We sought to achieve greater outcomes with improved efficiency, reducing costs and improving the patient’s experience and we accomplished just that,” stated Andre Berger, M.D., CEO and Board Member of National ACO, LLC.

Additional Resources
Visit the Medicare Shared Savings Program News and Updates webpage to access the CMS press release and fact sheet, the link to the Performance Year 2015 results file, and to learn more about the program.

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LATIERE GALVAN

Alex Foxman, M.D.
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