ACO Pilot Program Performance Mixed
July 17—Nine participants in the Pioneer Accountable Care Organization (ACO) model plan to leave the program, according to a statement from the Centers for Medicare & Medicaid Services (CMS) released Tuesday. Seven of the departing participants did not produce savings in the first performance year and indicate they intend to apply to the Medicare Shared Savings Program, while two plan to leave Medicare accountable care altogether.
This announcement comes amid other positive results from the ACO pilot program. According to CMS, the first performance year resulted in higher quality and lower Medicare expenditures overall.
CMS indicates that 13 out of 32 pioneer ACOs produced shared savings with CMS, generating a gross savings of $87.6 million in 2012 and savings of nearly $33 million to the Medicare Trust Funds. CMS also indicates that Pioneer ACOs performed better on 15 clinical quality measures as compared to published Medicare fee-for-service rates (for those measures where comparable data were available).
More than 250 organizations participate in the Pioneer ACO Model and the Medicare Shared Savings Program, serving 4 million Medicare beneficiaries.
Publication Date: Wednesday, July 17, 2013