MetroHealth Achieved Medicare Shared Savings for Four Consecutive Years
Cleveland - For four consecutive years, The MetroHealth System has earned Medicare shared savings, totaling $17 million by saving the federal government $28.5 million.
MetroHealth Care Partners, an Accountable Care Organization (ACO), achieved cost control at an average of 7.3 percent per year below the benchmarks set by the Centers for Medicare and Medicaid Services (CMS) for 2016 through 2019. The most recent results announced this month by CMS report that MetroHealth’s ACO generated 4 percent savings below CMS’ 2019 benchmark and earned $2.9 million as its share of CMS’ $4.2 million savings.
MetroHealth achieved the highest share rate for performance year 2019 of all the legacy Medicare Shared Savings Program (MSSP) ACOs in the Greater Cleveland market and is also the only MSSP ACO in the market to achieve shared savings for 2017 and 2018. Only one other health care provider organization in Ohio, an ACO based in Columbus, attained four consecutive years of MSSP shared savings along with MetroHealth Care Partners.
Caring for 9,500 Medicare beneficiaries, MetroHealth’s ACO excelled in CMS’ most advanced value based risk-bearing MSSP model, called Track 3, compared to its own service area as well as to the other ACOs across the U.S. MetroHealth Care Partners’ latest savings rate ranks it in the top third of the nation’s 32 Track 3 ACOs. In addition, MetroHealth earned the most in shared savings among all Essential Hospitals’ ACOs, those with similar risk profiles.
Medicare ACOs are groups of doctors, hospitals and other health care providers who come together to provide coordinated care to their Medicare patients. The goal is to ensure that patients get the right care at the right time while avoiding unnecessary care, averting duplication of services and preventing medical errors. CMS requires 23 quality measures, along with financial benchmarks, from MSSP ACOs. When an ACO achieves savings through improved care coordination and care that is appropriate, safe, and timely while performing to quality targets, the ACO earns a share of the Medicare savings generated for CMS.
The ACO’s results depended on integrated efforts across The MetroHealth System to deliver outstanding care to patients and accomplish population health management success.
“We are proud of our clinical team’s continued excellence in patient care, our Population Health Innovation Institute’s significant collaborations and achieving multi-year Medicare ACO shared savings,” said Dr. Nabil Chehade, MetroHealth Executive Vice President and Chief Clinical Transformation Officer.
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it.
The system’s more than 600 doctors, 1,700 nurses and 7,800 employees go to work each day with a mission of service, to their patients and to the community. As Cuyahoga County’s safety-net health system, MetroHealth plays an essential role in the region, caring for anyone and everyone, regardless of an ability to pay.
Founded in 1837, MetroHealth operates four hospitals, four emergency departments and more than 20 health centers and 40 additional sites throughout Cuyahoga County. The system serves more than 300,000 patients, two-thirds of whom are uninsured or covered by Medicare or Medicaid.
MetroHealth is home to Cuyahoga County’s most experienced Level I Adult Trauma Center, verified since 1992, and Ohio’s only adult and pediatric trauma and burn center.
As an academic medical center, MetroHealth is committed to research and to teaching and training tomorrow’s caregivers. Each active staff physician holds a faculty appointment at Case Western Reserve University School of Medicine. Its main campus hospital houses the Cleveland Metropolitan School District’s Lincoln-West School of Science & Health, the only high school in America located inside a hospital.
Knowing that good health is about much more than good medical care, MetroHealth has launched the Institute for H.O.P.E.™ (Health, Opportunity, Partnership, Empowerment), which uses a coordinated, collaborative and strategic approach to help patients with non-medical needs such as healthy food, stable housing and job training.
The MetroHealth Glick Center, a new 11-floor hospital, is under construction on the system’s main campus in Cleveland and is scheduled to welcome its first patients in October 2022. The billion-dollar project is the cornerstone of a wider neighborhood revitalization effort led by the system and its partners in the community.
For more information, visit metrohealth.org.