Allina provides health care for approximately one third of the population living in Minnesota and western Wisconsin. The Pioneer model of accountable care aligns payment with quality and value, rather than paying solely for the volume of services. This CMS program is for health care systems across the country that are the most integrated and that are ready to accept accountability for the well-being of the communities they serve. The key to this work is increasing quality, improving the patient experience, and lowering the cost of care.
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.
