Cadence Health ACO Selected As A Medicare Shared Savings Program Accountable Care Organization
January 27, 2015
89 new Accountable Care Organizations join program to improve care for Medicare beneficiaries
WINFIELD, IL – Cadence Health ACO, LLC, now part of Northwestern Medicine, has been selected as one of 89 new Medicare Shared Savings Program Accountable Care Organizations (ACOs), providing approximately 1.6 million additional Medicare beneficiaries with access to high-quality, coordinated care across the United States, the Centers for Medicare & Medicaid Services (CMS) announced. That brings the total to 405 Shared Savings Program ACOs serving over 7.2 million beneficiaries.
Doctors, hospitals and health care providers establish ACOs in order to work together to provide higher-quality coordinated care to their patients, while helping to slow health care cost growth. Cadence Health ACO will be one of 405 ACOs participating in the Shared Savings Program as of this January 1, 2015. Beneficiaries seeing health care providers in ACOs always have the freedom to choose doctors inside or outside of the ACO.
“The Cadence Health ACO will serve nearly 18,000 beneficiaries in DuPage and Kane counties,” said Marty Manning, President, Cadence Medical Partners, which will manage Cadence Health ACO. “Our goal is to improve patient outcomes through seamless, coordinated care to ensure patients receive the right care at the right time in the proper setting.”
ACOs share with Medicare savings generated from lowering the growth in health care costs when they meet standards for high quality care. ACOs are groups of doctors, hospitals, and other health care providers that work together to give Medicare beneficiaries in Original Medicare (fee-for-service) high quality, coordinated care. ACOs can share in any savings they generate for Medicare, if they meet specified quality targets.
“Cadence Health ACO will be joining a program that is one part of this Administration’s vision for improving the coordination and integration of care received by Medicare beneficiaries”, said Sean Cavanaugh, Deputy Administrator and Director, Center for Medicare. “We look forward to continuing this partnership with Cadence Health ACO in increasing value and care coordination across the health system.”
Since ACOs first began participating in the program in early 2012, thousands of health care providers have signed on to participate in the program, working together to provide better care to Medicare’s seniors and people with disabilities. The 89 new ACOs will bring approximately 23,000 additional physicians and other providers into the ACO program starting January 1, 2015.
ACOs are starting to see promising results. This fall, CMS released the early findings from the ACOs who started the program in 2012. ACOs improved on 30 of the 33 quality measures in the first 2 years, including patients’ ratings of clinicians’ communication, beneficiaries’ rating of their doctors, and screening for high blood pressure. ACOs also outperformed group practices reporting quality on 17 out of 22 measures. ACOs are also demonstrating promising results on cost savings with combined total program savings of $417 million for the Shared Savings Program and the Pioneer ACO Model.
While CMS is encouraged by what they have seen so far, they also understand there are opportunities to improve the program to make it stronger. Earlier this month, they published a proposed rule to update the guidelines for the program. CMS is looking forward to receiving comments from ACOs, beneficiaries, and their advocates, providers, and other stakeholders interested in seeing the ACOs succeed long-term.
ACOs are also just one way that CMS is working to reduce the rate of growth in Medicare spending while improving care. Medicare spending per beneficiary was essentially flat in nominal dollars in fiscal year 2014, and from 2010 to 2014, Medicare spending per beneficiary grew at a rate that was two percentage points per year less than growth in GDP per capita. While the recent slow cost growth has multiple causes, our reforms in the Medicare and Medicaid programs are meaningful contributors to these gains and are improving quality as well. Preliminary data for 2013, for example, indicates improvements in patient safety has resulted in 50,000 fewer deaths, 1.3 million fewer patient harms, and $12 billion in avoided health care spending. Recent research implies that many of these reforms may be generating savings in the private sector as well.
Ultimately, this announcement is about delivering better care, spending dollars more wisely, and having healthier people and communities. ACOs drive progress in the way care is provided by improving the coordination and integration of health care, and improving the health of patients with a priority placed on prevention and wellness.
About Northwestern Medicine
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of healthcare. It encompasses the research, teaching, and patient care activities of the academic medical center. Sharing a commitment to superior quality, academic excellence and patient safety, the organizations within Northwestern Medicine comprise a combined workforce of more than 25,000 among clinical and administrative staff, medical and science faculty and medical students. The entities involved in Northwestern Medicine remain separate organizations. Northwestern Medicine is a trademark of Northwestern Memorial HealthCare and is also used by Northwestern University.
About Northwestern Memorial HealthCare
Northwestern Memorial HealthCare (NMHC) is an academic health system whose entities operate as Northwestern Medicine. NMHC consists of over 60 sites of ambulatory sites throughout Chicago, including four hospitals; Northwestern Medicine Lake Forest Hospital in Lake Forest, Northwestern Medicine Central DuPage Hospital in Winfield, Northwestern Medicine Delnor Hospital in Geneva and its flagship Northwestern Memorial Hospital in Chicago, which is rated No. 1 in Chicago and Illinois, as well as 10th in the nation according to the U.S.News & World Report 2014-2015 Honor Roll of America's Best Hospitals; and more than 4,000 aligned physicians.