Trinity Health ACO Achieves $22.4 Million in Shared Savings

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Trinity Health ACO, a Next Generation Accountable Care Organization (ACO), achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.

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"In 2018, Trinity Health ACO achieved a savings nearly three times greater than in the previous performance year, which is an important indicator of how very effective the Model is and of the dedication of our providers' commitment to providing the best care possible."

Trinity Health ACO, a Next Generation Accountable Care Organization (ACO), achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.

"We are grateful to the providers working to improve the quality of care and patient experience in the Trinity Health ACO for their efforts to make this innovative program a success," said Emily Brower, senior vice president, clinical integration and physician services, for Trinity Health. "In 2018, Trinity Health ACO achieved a savings nearly three times greater than in the previous performance year, which is an important indicator of how very effective the Model is and of the dedication of our providers' commitment to providing the best care possible."

The Next Generation ACO Model is currently in its fourth year. It sets predictable financial targets, gives beneficiaries more opportunities to manage their own health, and enables providers to better coordinate care across health systems. In these ways and more, it strives to attain the highest quality standards of care for Medicare recipients.

Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System). In 2018, Trinity Health ACO also provided care to patients in New Jersey at Our Lady of Lourdes Health Care Services. Patients experience no change in their original Medicare benefits and retain their freedom to see any Medicare provider. In order to share the savings it achieves for the Medicare initiative, Trinity Health ACO is required to succeed in both delivering high-quality care and spending health care dollars more wisely.

"We are energized by the fact that Trinity Health ACO has significantly improved care for its beneficiaries and hope to continue partnering with CMS in transforming the health of our nation," said Dan Roth, executive vice president and chief clinical officer for Trinity Health.

Next Generation ACOs like Trinity Health ACO are patient-centered organizations in which providers have access to better information about their patients' medical histories and better relationships with their patients' other providers. They often also offer expanded benefits, which may include telehealth benefits and/or a waiver of the three-day skilled nursing facility (SNF) rule. This waiver allows eligible patients, whose doctors participate in the Next Generation ACO Model, to be admitted to a SNF directly from their home or a doctor’s office, or from a hospital if they have fewer than three consecutive inpatient days in the hospital.

Participation in Next Generation ACOs is voluntary for providers who — when part of the Model — are payed based on the quality, rather than quantity, of care they provide to patients.

For more information on the Next Generation ACO Model, please visit the Next Generation ACO Model web page. For more information on Trinity Health ACO, visit http://www.trinityhealthaco.org.

About Trinity Health

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 92 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2 million visits annually. Based in Livonia, Mich., and with annual operating revenues of $19.3 billion and assets of $27 billion, the organization returns $1.2 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 129,000 colleagues, including about 7,500 employed physicians and clinicians. For more information, visit http://www.trinity-health.org. You can also follow us on Facebook or Twitter.

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Eve Pidgeon
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