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 an essential health system committed to providing health care to everyone in Cuyahoga County, Ohio, and improving the health of the community overall. Its 7,500 employees deliver care to everyone at its main campus, just west of downtown Cleveland, and at more than 20 other MetroHealth locations. Two new hospitals have recently opened in Cleveland Heights and Parma, and MetroHealth also provides health care at more than 40 additional sites in Cuyahoga County through community partnerships.
MetroHealth is home to Cuyahoga County’s most experienced Level I Adult Trauma Center, verified since 1992 by the Committee on Trauma of the American College of Surgeons, and one of two adult and pediatric burn centers in the state of Ohio verified by the American Burn Association. MetroHealth also is home to a verified Level II Pediatric Trauma Center.
In the past year, MetroHealth provided more than 1.4 million patient visits in its hospital and health centers. MetroHealth is also an academic medical center committed to teaching and research; each of its active physicians holds a faculty appointment at Case Western Reserve University School of Medicine. MetroHealth has earned Magnet status, which places it in the top six percent of all hospitals nationwide for nursing excellence.
MetroHealth’s mission is, “Leading the way to a healthier you and a healthier community through service, teaching, discovery and teamwork.” For more information, visit metrohealth.org.