MetroHealth Care Partners ACO Receives Medicare Shared Savings
The MetroHealth System’s Accountable Care Organization (ACO), MetroHealth Care Partners, has earned significant shared savings as part of the 2016 Medicare Shared Savings Program (MSSP). The Centers for Medicare & Medicaid Services (CMS) announced the performance results today.
In the 2016 performance year, MetroHealth Care Partners delivered cost control at 8.1 percent below CMS’ benchmark. It also achieved a quality score of 96 percent. As a result, CMS saved $9.1 million and MetroHealth received $4.3 million as its share of the savings.
Medicare ACOs are groups of doctors, hospitals and other health care providers who come together voluntarily to provide coordinated care to their Medicare patients. The goal 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 set up by CMS, it is able to share in the savings generated for Medicare. These thresholds demonstrate achievement of high-quality care and wiser spending of health care dollars.
MetroHealth’s Population Health Innovation Institute led the cost savings and quality improvement initiatives, which resulted in the shared savings. The Institute focuses on process, including care coordination for every single patient enrolled in the ACO. The Institute develops programs that help people stay healthy and navigate through the health system easier.
“The important message here is that we are ensuring these Medicare patients in Cuyahoga County are receiving the care they need when they need it,” said Akram Boutros, MD, FACHE, president and CEO of MetroHealth. “And, on top of that, MetroHealth is saving taxpayers millions of dollars by focusing on maintaining good health and not just treating illness. That’s the good that comes from transforming health care delivery.”
The MetroHealth System began MetroHealth Care Partners in January 2014. ACOs must meet quality standards to ensure that savings are achieved through improving care coordination and providing care that is appropriate, safe, and timely. CMS evaluates ACO quality performance using 34 quality measures, which include patient and caregiver experience, care coordination and patient safety, appropriate use of preventive health service, and improved care for at-risk populations.
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.