Accountable Care Collaborative: 2014 Annual Report

The ACC as a whole generated savings that exceeded its administrative costs this year. The ACC achieved gross savings in medical costs between $98 million and $102 million with net savings totaling $29 million to $33 million after administrative expenses.

Adults enrolled more than six months used approximately 8 percent fewer emergency room services than adults not enrolled. Use of the emergency room was about the same in children who were not enrolled in the ACC and those enrolled more than six months. Use of the emergency room was slightly higher for ACC members with disabilities than those not enrolled in the program.

Clients with disabilities who were enrolled in the ACC for at least six months used approximately 3 percent fewer imaging services than those not enrolled. Adults without disabilities who were enrolled for more than six months had about 16 percent fewer imaging services than those not enrolled, and children without disabilities who were enrolled for over six months had about 12 percent fewer imaging services than those not enrolled. Performance on this metric over the last three years has been so strong that it is no longer necessary to include it as a pay-for-performance metric in the coming year.

There were fewer readmissions to the hospital (within 30 days for the same diagnosis) for adults and children without disabilities who were enrolled in the ACC for more than six months, compared to those not enrolled.

50% of all children under age 18 enrolled in the ACC had at least one well-child visit this year.