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N.J. Doctor Group ACO Generates $6.4M in Medicare Financial savings

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N.J. Doctor Group ACO Generates $6.4M in Medicare Financial savings

N.J.-Physician-Group-ACO-Generates-6.4M-in-Medicare-Savings N.J. Doctor Group ACO Generates $6.4M in Medicare Financial savings

– Companions In Care ACO generated $6.4M in financial savings and is amongst high three performers statewide underneath Medicare Shared Financial savings Program in New Jersey.

– Whereas offering high-quality look after sufferers, Medicare is sharing a portion of those financial savings with the suppliers in return.

Partners In Care Accountable Care Organization (ACO) generated $6.four million in financial savings – a mean of $546 per Medicare affected person – in 2018. The financial savings are tracked by the Facilities for Medicare and Medicaid Companies (CMS), underneath the Medicare Shared Financial savings Program (MSSP). In truth, Companions in Care (PIC) ACO saved Medicare the third-highest quantity of all New Jersey MSSP individuals. And PIC ACO delivered 50% extra financial savings than the minimal threshold required by CMS to earn shared-savings funds.

Companions In Care ACO Background

Companions In Care (PIC) is a clinically built-in community of affiliated medical practices that work collectively to reinforce high quality and cut back the general value of care. PIC ACO companions with Marlton, N.J.-based Continuum Well being, which supplies important companies that drive the ACO’s excessive efficiency, together with improved high quality of care and decreased pointless medical companies (similar to duplicate exams) for the ACO’s practically 12,000 Medicare beneficiaries. Continuum additionally powers superior efficiency for different ACO companions and for New Jersey’s fastest-growing impartial medical group, Consensus Well being. (PIC ACO consists of suppliers from Consensus Well being.)

PIC ACO Success

PIC ACO attributes its MSSP success to focused efforts by its suppliers and Continuum Well being’s inhabitants well being group to enhance follow workflows and proactively look after the sickest sufferers. PIC ACO, a subset of high-performing suppliers throughout the PIC community of doctor practices has been collaborating in MSSP since 2014 and has delivered financial savings to Medicare in all however one yr.

PIC, powered by Continuum Well being, has additionally seen latest successes within the inhabitants well being work they’ve carried out for his or her industrial payer companions. PIC was Horizon BCBSNJ’s highest-performing ACO in New Jersey on a per-member-per-month (PMPM) foundation in 2018, producing greater than $17 PMPM financial savings. PIC additionally generated in extra of $15 PMPM financial savings within the pediatric inhabitants they handle for Aetna. And PIC elevated its Medicare STARS rating (a top quality measure) within the first yr of the Medicare Benefit program with United Healthcare from three.15 to three.94, out of a potential rating. The Continuum Well being population-health group additionally powered hundreds of thousands in financial savings for ACOs they assist in different states.

“Continuum Well being has made a concerted effort to double down on our inhabitants well being efforts and the outcomes converse for themselves. Along with PIC ACO’s success, we now have helped different doctor companions ship improved care and earn hundreds of thousands in shared financial savings,” stated Peter Bailey, CEO of Continuum Well being and Consensus Well being. “Our mixed efforts have resulted in properly over $40 million in financial savings.”

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