Beacon, LLC - CMS Pioneer ACO
Reported Outcomes
Description:
Beacon Health, a subsidiary of EMHS, oversees efforts around EMHS’ Pioneer Accountable Care Organization (ACO). The program has demonstrated improvement in care coordination, efficiency, effectiveness, and quality all while reducing costs. The Centers for Medicare and Medicaid Services (CMS) announced Beacon Health had a shared savings for performance year one of nearly 5%. Beacon Health reinvested the savings in infrastructure including care coordination, care transitions, technology, and analytic elements that are essential to population health and to delivering the highest quality care.
The program's patient engagement results prove a strong relationship is being formed and quality of lives are improving.
The EMHS primary care practices of TAMC, Eastern Maine Medical Center, and Inland Hospital were the first to undergo the practice redesign to improve the quality of life for the nearly nine thousand Medicare and Medicaid patients. The hard work is paying off. EMHS is a leader among the ACOs in patient experience, care coordination, preventative health, and supporting chronic disease patients.
Payment Model:
The payment models being tested in the first two years of the Pioneer ACO Model are a shared savings payment policy with generally higher levels of shared savings and risk for Pioneer ACOs than levels currently proposed in the Medicare Shared Savings Program. In year three of the program, participating ACOs that have shown a specified level of savings over the first two years will be eligible to move a substantial portion of their payments to a population-based model. These models of payments will also be flexible to accommodate the specific organizational and market conditions in which Pioneer ACOs work.
Cost Savings:
- Savings of $499 per beneficiary per year amounting to 5% shared savings for year one
Other Outcomes:
Reported Results:
https://www.ruralhealthinfo.org/project-examples/855
Data Source(s):
