MSSP ACO Results Performance Period 1

MSSP ACO Performance Period 1 Final Summary

April 13, 2023

Shared Savings Performance Years

ACO Start Date Performance Year 1Reporting Period 1

Performance Year 1Reporting Period 2



Shared Savings Program ACOs (April 2012 start)

April 1, 2012 to December 31, 2013

January 1, 2012 to December 31, 2012

April 1, 2012 to December 31,2013

January 1, 2013 to December 31,2013


Same


Same

Shared Savings Program ACOs (July 2012 start)

July 1, 2012 to December 31, 2013

January 1, 2012 to December 31,2012

July 1, 2012 to December 31, 2013



Same


Same

Shared Savings Program ACOs (January 2013 start)

NAJanuary 1, 2013 to December 31, 2013

Same


Same


Same

Pay for Reporting / Pay for Performance

Pay for Reporting Pay for ReportingPay for Performance Phase-in

Pay for Performance phase-in

Winners and Losers

Generated Savings

Count of ACOs And the implications are….

$0 150Received no shared savings payment. May still be responsible for Advance Payment repayment.

Losses 1 Responsible for loss repayment and Advance Payment repayment.

Savings 53 / 49All received shared savings payment except 4 which did not meet the quality reporting requirements.

TBD 16 To be determined…

Total 220

Winners by State

ACOs by State

ACOs Earning Savings

Shared Savings Payments*

TX 7 $62.87

FL 11 $50.83

NY 3 $28.06

MI 2 $20.66

CA 4 $17.30

NJ 2 $15.64

VA, TN 2 $13.61

MA, NH 2 $11.91

NC 1 $10.54

GA 1 $9.74

WI 1 $8.67

MA 2 $7.46

ACOs by State ACOs Earning Savings

Shared Savings Payments*

MA 2 $7.46

OH 1 $5.78

NJ, NY 1 $5.27

IA, PA, CT, MA, CA 1 $5.16

MO, KS 1 $5.01

TN, LA, FL 1 $4.72

IA 1 $4.43

MA, RI 1 $3.56

KY, IL 1 $2.81

KY 1 $2.76

VA 1 $2.33

NV 1 $1.64

Total 49 $300.76 * In millions

The Winners by ACO

# ACOs with Savings and PaymentsShared Savings

Payments*Percent of

TotalCumulative Percent of

Total

1 Memorial Hermann Accountable Care Organization $28.34 9% 9%

2 Palm Beach Accountable Care Organization, LLC $19.34 6% 16%

3 Catholic Medical Partners-Accountable Care IPA, Inc. $13.68 5% 20%

4 Southeast Michigan Accountable Care, Inc. $12.09 4% 24%

5 RGV ACO Health Providers, LLC $11.90 4% 28%

6 ProHEALTH Accountable Care Medical Group, PLLC $10.74 4% 32%

7 Triad Healthcare Network, LLC $10.54 4% 35%

8 WellStar Health Network, LLC $9.74 3% 39%

9 Accountable Care Coalition of Texas, Inc. $9.36 3% 42%

10 Accountable Care Coalition of Southeast Wisconsin, LLC $8.67 3% 45%

* In millionsGrand Total 49 $300.76

By Start Date

#ACOs by Start Date

Shared Savings

Payments / Losses*

4/1/2012 27 $64.00

7/1/2012 87 $165.77

1/1/2013 106 $67.03

Total 220 $296.80

* In millions

# ACOs by Start Date

Shared Savings

Payments*

4/1/2012 8 $64.00

7/1/2012 22 $169.73

1/1/2013 19 $67.03

Total 49 $300.76

* In millions

Track 1 vs Track 2

# ACOs by Track

Shared Savings

Payments / Losses*

Track 1 215 $283.85

Track 2 5 $12.95

Total 220 $296.80

* In millions

# ACOs by Track

Shared Savings

Payments*

Track 1 47 $283.85

Track 2 2 $16.91

Total 49 $300.76

* In millions

Track 1 vs Track 2

# ACOs by Track Shared Savings Payments / Losses*

Track1 215 $283.85 Track2 5 $12.95

Grand Total 220 $296.80

Only 5 Track 2 ACOs Savings/ Losses

Shared Savings Payments /

LossesDean Clinic and St. Mary's Hospital ACO (WI) ($9.97) ($3.96)Physicians of Cape Cod ACO (MA) $0.00 $0.00 Accountable Care Coalition of DeKalb. (GA) $0.00 $0.00 Heartland Regional Medical Center (MO/KS) $8.53 $5.01 RGV ACO Health Providers* (TX) $20.24 $11.90 *Participate in Advance Payment Model

Advance Payment ACOs

# Advance Payment ACOs

Shared Savings

Payments / Losses*

No 184 $266.13

Yes 36 $30.67

Total 220 $296.80

* In millions

# Advance Payment ACOs

Shared Savings

Payments *

No 41 $270.09

Yes 8 $30.67

Total 49 $300.76

* In millions

Advance Payment ACOs

11 Advance Payment ACOs with Savings or TBD Savings / Losses

RGV ACO Health Providers-TX $20.24 Physicians ACO-TX $12.01 Coastal Medical-MA, RI $7.27 National ACO-CA $6.19 Rio Grande Valley Health Alliance-TX $6.01 Jackson Purchase Medical Associates, PSC-KY, IL $5.74 Reliance Health Network-FL $4.96 Bay Area Florida Physicians Trust-FL $4.56 Integrated ACO LLC-TX $3.57 Medical Mall Services of Mississippi-MS, AL TBDNorth Country ACO-NH, VT TBD

# Advance Payment ACOs Shared Savings Payments / Losses

No 184 $266.13 Yes 36 $30.67


Advance Payment ACOs with No Savings

25 Advance Payment ACOs with No SavingsNOMS ACO-OH Texoma ACO-TXPrimary Partners-FL Fort Smith Physicians Alliance ACO-AR, OKCoastal Carolina Quality Care-NC ACO Health Partners-FLGolden Life Healthcare-CA American Health Alliance-FLMPS ACO Physicians-CT Nature Coasts ACO-FLPriMed-CT Physicians Collaborative Trust ACO-FLAccountable Care Partners-FL Primary Partners ACIP-FLQuality Independent Physicians-KY, IN Owensboro ACO-KY, INHarbor Medical Associates-MA KCMPA-ACO-MO, KSMaryland ACO Eastern Shore-MD SERPA ACO-NEMaryland ACO Western MD-MD, PA, WV American Hlth Network of Ohio Care Org, OHCumberland Ctr for Healthcare Innovation-TN Lower Shore ACO-VA, MD, DESt. Thomas Medical Group-TN

Quality Reporting

# ACOs Reporting Quality

Shared Savings

Payments / Losses*

No 11 $0.00

Yes 209 $296.80

Total 220 $296.80

* In millions

# ACOs Reporting Quality

Shared Savings

Payments*

No 0 $0.00

Yes 49 $300.76


* In millions

Quality Reporting

# ACOs Reporting Quality Shared Savings Payments / Losses

No 11 $0.00 Yes 209 $296.80


11 ACOs Not Meeting Quality Reporting Requirement Savings / Losses

Nevada Primary Care Network, ACO-NV $21.69 Physicians ACO-TX $12.01 Independent San Diego ACO-CA $7.96 Morehouse Choice ACO and Education System-GA $1.92 Florida Physicians Trust-FL $0.00 Accountable Healthcare Alliance-MI $0.00 Meridian Holdings-NC, GA, FL, SC, DC, CA, MD, TX $0.00 Accountable Care Organization of Puerto Rico-PR $0.00 NOMS ACO-OH $0.00 Allcare Options-FL TBDMedical Mall Services of Mississippi-MS, AL TBD

MSSP ACO Results Performance Period 1

Healthcare

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