CMS: Fact sheets: Medicare ACOs continue to succeed in improving care, lowering cost growth

Pioneer ACO Model and Medicare Shared Savings Program ACOs show continued quality of care improvements and additional Medicare savings

The Centers for Medicare & Medicaid Services today issued quality and financial performance results showing that Medicare Accountable Care Organizations (ACOs) have successfully improved the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers and keeping patients healthy rather than treating them when they were sick.

Last year, the ACOs had higher quality and better patient experience than published benchmarks.  This year, the ACOs improved significantly for almost all of the quality and patient experience measures demonstrating that these organizations improve care. ACOs in the Pioneer ACO Model and Medicare Shared Shavings Program (Shared Savings Program) also generated over $372 million in total program savings for Medicare ACOs. At the same time, ACOs qualified for shared savings payments of $445 million.  The encouraging news comes from preliminary quality and financial results from the second year of performance for 23 Pioneer ACOs and the first year of performance for 220 Shared Savings Program ACOs.    

Since passage of the Affordable Care Act, more than 360 Medicare ACOs have been established, serving over 5.6 million Americans with Medicare. Medicare ACOs are groups of providers and suppliers of services that work together to coordinate care for the Medicare fee-for-service (FFS) beneficiaries they serve and achieve program goals; Medicare ACOs choose a level of performance risk and receive financial incentives based on that choice and their quality performance. Pioneer ACOs tend to be more established, assume a greater financial risk, and receive financial rewards for lowering costs.

Beneficiaries seeing health care providers in ACOs always have the freedom to choose doctors inside or outside of the ACO.  Medicare shares with ACOs any savings generated from lowering the growth in health care costs when they meet performance standards for high quality care.  

Pioneer Performance Year 2 Results

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
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