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August 25, 2015                                                                                                                            Gary A. Philip
  Marketing & Communication Specialist
  (714) 221-6300

Medicare ACOs Continue to Improve Quality of Care, Generate Shared Savings:

The Centers for Medicare & Medicaid Services today issued 2014 quality and financial performance results showing that more Medicare Accountable Care Organizations (ACOs) continue to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers.

When an ACO demonstrates that it has achieved high-quality care and effectively reducing spending of health care dollars above certain thresholds, it is able to share in the savings generated for Medicare. In 2014, 20 Pioneer and 333 Shared Savings Program ACOs generated more than $411 million in savings, which includes all ACOs savings and losses. The results also show that ACOs with more experience in the program tend to perform better over time.

Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.

In addition to those ACOs that generated savings, some ACOs had assigned beneficiary expenditures that were either greater than or less than their updated benchmark, but that fell within their minimum savings rate corridor. This means that they did not earn a performance payment.

“FACMG achieved a savings of $2.4 Million, and a quality reporting rating of 100% in our first performance year of 2014. We are one of only three California ACOs that achieved savings in its first performance year. Upon comparing us amongst the 119 ACOs nationwide that began their first performance year in 2014, FACMG ranked 29th in its percentage of savings” stated Tejinder Singh, M.D., President of FACMG. “We are proud of our accomplishments and healthcare team.”

For more detailed quality and financial results, click here: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-08-25.html

Additional Resources:
Visit the Medicare Shared Savings Program News and Updates webpage to access the HHS press release and fact sheet, the link to the Performance Year 2014 results file, and to learn more about the program.

Centers for Medicare and Medicaid Services

Medicare Service Center: 800-MEDICARE (800-633-4227)

Medicare Service Center TTY: 877-486-2048