MetroHealth Received $4.3 Million for High-Quality, Cost-Effective Care of Seniors
(Cleveland) – MetroHealth’s Accountable Care Organization (ACO) saved the federal government $6.7 million in 2018. Through the Medicare Shared Savings Program (MSSP), MetroHealth received more than $4.3 million as its share of the savings.
MetroHealth’s ACO savings rate of 6.9% ranks in the top 10% nationally and best in the nation among Essential Hospitals, 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 duplication of services and preventing medical errors.
The Centers for Medicare and Medicaid Services (CMS) set 31 quality measures, along with financial benchmarks, for 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 savings generated for Medicare. MetroHealth’s ACO quality score of 88.14% surpassed the market’s other health systems.
MetroHealth is the only MSSP ACO in the Greater Cleveland market to achieve shared savings for 2017 and 2018. Only 37% of the 548 MSSP ACOs across the U.S. achieved 2018 shared savings. MetroHealth’s ACO, caring for 9,000 Medicare Fee For Service beneficiaries, excelled in CMS’ most advanced value-based MSSP model, called Track 3, compared to the market and to other advanced ACOs across the U.S.
For three consecutive years, MetroHealth has earned Medicare shared savings totaling $14.1 million by saving CMS $24.3 million at an average of 8.3% per year.
This was due to unified efforts across The MetroHealth System to deliver outstanding care to patients and deliver population health results. “We are proud of our ACO accomplishing multi-year Medicare shared savings and grateful to the extraordinary MetroHealth care teams providing higher quality care with one of the best cost controls nationally,” said Dr. Nabil Chehade, Chief Population Health Officer and Senior Vice President of MetroHealth’s Population Health Innovation Institute.
MetroHealth’s MSSP ACO participation continues through 2019 and is in the process of renewing with CMS for future years.
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 nearly 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.