Trinity Health Integrated Care to Receive More than $12.5 M from CMS for Quality and Care Coordination Efforts
(PRWEB) September 26, 2018 -- Trinity Health Integrated Care, a Medicare Shared Savings Program Track 3 Accountable Care Organization, achieved $16.8 million dollars in savings for the Centers for Medicaid and Medicare Services (CMS) in 2017, its first performance year. CMS will award Trinity Health Integrated Care more than $12.4 million through this Advanced Alternative Payment Model (APM). The Medicare Shared Savings program (MSSP) provides the incentive of sharing in the savings as a reward for providing high-quality care at a more affordable cost to a CMS-assigned Medicare fee-for-service beneficiary population.
"We are very proud to have improved the health of our Medicare beneficiaries while lowering cost and to have demonstrated how advanced Accountable Care models accelerate progress toward better care and better health," said Dan Roth, M.D., EVP and Chief Clinical Officer for Trinity Health. "We hope more health systems will engage in similar arrangements with CMS. The program's greatest benefits will come when more health systems are participating and advancing care in their own communities."
Trinity Health Integrated Care has five chapters including clinically integrated networks associated with:
• St. Joseph's Hospital Health Center, Syracuse, New York
• Mercy Health System of Southeastern Pennsylvania, Conshohocken, Pennsylvania
• St. Joseph Health System, Mishawaka, Indiana
• Saint Alphonsus Health System, Boise, Idaho
• St. Mary Medical Center, Langhorne, Pennsylvania
All came together voluntarily to create the ACO and to accept accountability for the quality, cost, and experience of care of the assigned beneficiary group. ACOs are expected to provide Medicare beneficiaries with high-quality coordinated care that includes getting them the right care when they need it, avoiding unnecessary service duplication and preventing medical errors.
For efforts in 2017, Trinity Health Integrated Care ranked 12th out of 159 ACOs that achieved shared savings. As its results relate to the other 16 Track 3 MSSP ACOs that achieved shared savings during the year, Trinity Health Integrated Care ranked 2nd.
"This achievement speaks to our teams' shared commitment to people-centered care, innovation and continuous improvement," said Roth. "We are very proud of Trinity Health Integrated Care's impressive efforts coordinating care across multiple providers and increasing quality and efficiency."
As a Track 3 ACO, Trinity Health Integrated Care participates in a two-sided financial risk arrangement that represents the greatest amount of risk among the three Medicare Shared Savings Program tracks. From one year to the next and depending on performance, Trinity Health Integrated Care — and other Track 3 ACOs — can either share in savings or have to repay Medicare losses.
About Trinity Health
Trinity Health is one of the largest multi-institutional Catholic health care systems in the United States. It serves people and communities in 22 states nationwide with 94 hospitals and 109 continuing care locations – including home care, hospice, PACE and senior living facilities – that provide more than 107,000 home health and hospice admissions. Pursuing its People-Centered 2020 strategic plan, Trinity Health has become a leader in the transformation from volume-based to value-based care with about 15,000 physicians participating in 23 Clinically Integrated Networks accountable for 1.4 million lives. Trinity Health participates in the Next Generation ACO, MSSP ACO Tracks 1, 1+ and 3, the Comprehensive Primary Care (CPC) Plus program, and the Bundled Payment for Care Improvement (BPCI) program. Additionally, Trinity Health's alternative payment agreements span 30 Model 2 Bundled Payment for Care Improvement (BPCI) hospitals, eight Model 3 Skilled Nursing Facilities (SNF) and two Comprehensive Joint Replacement (CJR) sites. For more information, visit http://www.trinity-health.org. You can also follow @TrinityHealthMI on Twitter.
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Eve Pidgeon, Trinity Health, http://www.trinity-health.org, +1 734-343-1270, [email protected]
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