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, Cuyahoga County’s public health system, is honoring its commitment to create a healthier community by building a new hospital on its main campus in Cleveland. The building and the 25 acres of green space around it are catalyzing the revitalization of MetroHealth’s West Side neighborhood.
MetroHealth broke ground on its new hospital in 2019. The project is being financed with nearly $1 billion the system borrowed on its own credit after dramatically improving its finances. In the past five years, MetroHealth’s operating revenue has increased by 40% and its number of employees by 21%. Today, its staff of 8,000 provides care at MetroHealth’s four hospitals, four emergency departments and more than 20 health centers and 40 additional sites throughout Cuyahoga County. In the past year, MetroHealth has served 300,000 patients at more than 1.4 million visits in its hospitals and health centers, 75% of whom are uninsured or covered by Medicare or Medicaid.
The health system 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 teaching and research. Each active staff physician holds a faculty appointment at Case Western Reserve University School of Medicine. Its main campus hospital houses a Cleveland Metropolitan School District high school of science and health.
For more information, visit metrohealth.org.