Updated with list: Majority of Next Generation ACOs earned shared savings

All but two of 39 accountable treatment corporations reporting results in the Subsequent Technology ACO design attained shared savings relatively than owed cash, a determine the Countrywide Affiliation of ACOs touts as a results for price-based, capitated payments. 

Subsequent Technology is Medicare’s design of best threat. NAACOS wants to see the four-year design made long lasting.

Collectively, Subsequent Gen ACOs saved Medicare $559 million final year, according to partial 2019 efficiency details made accessible by the Centers for Medicare and Medicaid Providers.

WHY THIS Matters

ACOs are accountable for the price tag and top quality of beneficiary treatment. They get paid the right to share with Medicare savings generated if selected investing and top quality metrics are satisfied. 

ACOs strike an typical top quality rating of 93.seven{bcdc0d62f3e776dc94790ed5d1b431758068d4852e7f370e2bcf45b6c3b9404d} out of a excellent rating of 100, bettering treatment for one.2 million seniors, according to NAACOS. 

Just after accounting for shared savings paid to ACOs for keeping down expenditures and hitting top quality targets as perfectly as shared losses and bargains paid to the authorities, the Subsequent Gen program netted $204 million to Medicare in 2019. By comparison, Subsequent Gen ACOs saved Medicare $406 million in 2018 and netted $185 million after shared savings and losses.

THE Greater Development

Launched in 2016, and prolonged by a year to end at the end of 2021, Subsequent Gen builds off former innovation designs, these as Pioneer, which started off in 2012. CMS prolonged the program thanks to the COVID-19 pandemic.


“For just about every year of the program, Subsequent Gen ACOs yielded savings for Medicare cash although also exhibiting an enhancement in top quality. Extremely couple programs CMS has designed about the yrs can say that,” stated Clif Gaus, president and CEO of the Countrywide Affiliation of ACOs. “NAACOS carries on to contact on CMS to make the Subsequent Gen design a long lasting fixture in Medicare, possibly as a stand-by itself program or an possibility in just the Shared Financial savings Program.”

ACO Identify Overall Aligned Beneficiaries Overall Benchmark Expenditures Overall Genuine Expenditures for Aligned Beneficiaries Attained Shared Financial savings Payments/Owe Shared Losses
Steward Built-in Care Network, Inc. 116,246 $one,544,646,145 $one,522,698,357 $seventeen,207,066
ThedaCare ACO, LLC fifteen,874 $one hundred forty four,559,315 $143,365,443 $935,996
Pioneer Valley Accountable Care, LLC forty four,201 $520,627,651 $514,213,418 $five,028,759
CHESS NEXTGEN LLC 29,367 $337,266,985 $327,680,918 $9,394,345
Accountable Care Coalition of Southeast Texas, Inc seventeen,389 $236,869,357 $219,148,172 $seventeen,366,762
Trinity Health and fitness ACO, Inc. seventy seven,901 $941,696,538 $910,594,340 $24,384,123
Henry Ford Physicians Accountable Care Organization, LLC 26,572 $359,326,038 $352,466,223 $five,378,095
Deaconess Care Integration, LLC 39,968 $439,346,234 $427,837,229 $9,023,060
Park Nicollet Clinic fourteen,229 $one hundred fifty,026,494 $147,574,093 $one,922,682
UnityPoint Accountable Care L.C. 100,two hundred $one,071,112,979 $one,016,449,896 $41,987,629
Medical doctor Associates LTD. 12,403 $122,716,225 $119,682,569 $2,378,386
Triad Health care Network, L.L.C. 28,801 $three hundred,956,244 $291,697,913 $9,073,165
Atrius Health and fitness, Inc. 39,354 $471,519,011 $452,676,439 $eighteen,465,721
HCP California, LLC thirty,217 $423,063,832 $435,448,822 ($9,907,993)
NW Momentum Health and fitness Associates ACO, LLC thirteen,787 $131,396,899 $129,738,056 $one,three hundred,533
UT Southwestern Accountable Care Network 94,625 $one,239,092,055 $one,187,431,915 $fifty,626,938
Accountable Care Possibilities, LLC ten,952 $one hundred fifty,604,322 $149,668,641 $916,968
St. Luke’s Clinic Coordinated Care, LTD 32,489 $346,525,684 $317,278,019 $22,930,169
ProHealth Answers, LLC fifteen,809 $163,214,109 $158,499,385 $three,696,343
Indiana College Health and fitness 63,692 $753,934,320 $711,353,369 $29,554,225
Carilion Clinic Medicare Shared Financial savings Enterprise, LLC fifty two,775 $536,490,623 $510,506,034 $20,371,918
Arizona Care Network, LLC 35,751 $399,075,814 $397,495,209 $one,239,195
APA ACO, Inc. thirty,740 $504,936,872 $467,646,269 $19,793,525
UNC Senior Alliance, LLC thirty,357 $316,423,039 $301,828,764 $fourteen,302,389
UW Health and fitness ACO, Inc. 27,498 $267,722,517 $256,244,488 $eight,998,775
Reliant Professional medical Team, Inc ten,851 $a hundred and forty,684,947 $one hundred thirty,546,703 $9,935,480
Reliance Subsequent Gen ACO, LLC 12,668 $169,196,334 $158,615,389 $eight,295,461
Most important Care Alliance thirteen,011 $163,293,662 $142,two hundred,984 $20,670,824
Revere Health and fitness fifteen,399 $176,343,855 $171,698,950 $three,641,606
CoxHealth Accountable Care, LLC 19,531 $183,521,482 $184,852,277 ($one,064,636)
Franciscan Missionaries of Our Girl Health and fitness Method Clinical Network, LLC twenty five,270 $280,978,730 $260,736,786 $sixteen,521,549
CareMount ACO 24,664 $305,582,388 $291,043,463 $11,398,517
Primaria ACO, LLC 28,656 $336,591,843 $313,302,980 $22,823,085
Best Care Collaborative fourteen,795 $176,349,676 $168,947,631 $seven,254,004
Accountable Care Coalition of Tennessee, LLC 22,489 $221,941,879 $205,764,102 $fifteen,854,222
Torrance Memorial Built-in Physicians, LLC 12,139 $171,013,621 $a hundred and sixty,358,836 $six,703,734
NEQCA Accountable Care, Inc 35,261 $506,768,205 $489,561,739 $thirteen,489,869

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