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Press Release

U.S. Medical Management Accountable Care Partners (ACO) Improves Quality of Care and Generates Shared Savings through Medicare Shared Savings Program (MSSP) ACO in Fiscal Year 2015

U.S. Medical Management
Posted on: 31 Aug 16

TROY, Mich., Aug. 31, 2016 /PRNewswire/ -- The Centers for Medicare and Medicaid Services today issued 2015 quality and financial performance results showing that The Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) continue to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater coordination and collaboration among providers. 

When an ACO demonstrates that it has achieved high-quality care and effectively reduced spending of health care dollars above certain thresholds, the participating ACO is able to share in the savings generated for Medicare. 

In 2015, over 400 Shared Savings Program ACO's generated total program savings (inclusive of all savings and losses relative to financial benchmarks) of $429 million.  Of all participating ACOs, 119 Shared Savings Programs earned a portion of those shared savings by holding spending far enough below their financial benchmarks and meeting quality standards.  USMM Accountable Care Partners was one of those 119 programs in 2015 that generated shared savings.  USSM Accountable Care Partners saved CMS $15.1 million in its first year with the program, ranking USMM ACO in the top 20 percent of programs contributing savings to the MSSP ACO program in 2015.      

USMM Accountable Care Partners is the only MSSP ACO dedicated exclusively to the home-limited population in the United States.

"We at USMM ACO partners are very pleased with this early validation of our commitment to moving the business model of home-based medical care from one strictly based on volume to one based upon value with the ultimate goal of improving health outcomes and the patient care experience," said Michael Smith, CEO of USMM. 

"These early outcomes result from the transformational work that our provider-led teams have initiated in our practices across the U.S. – all with a focus on delivering patient centered care to the home-limited populations we serve," said Robert Sowislo, President of USMM Accountable Care Partners.

Additional Resources
Visit the Medicare Shared Savings Program News and Updates webpage to access the HHS press release and fact sheet, the link to the Performance Year 2015 results file, and to learn more about the program.

U.S. Medical Management (USMM), along with its affiliated entities (Visiting Physicians Association, Pinnacle Home Care, and Grace Hospice, among others) is a leading management services organization and provider of home based primary care services for complex/fragile patients.  Based in Troy, Michigan, USMM operates Visiting Physician Association practices in 14 states, constituting a 200 + primary care provider group, providing continuity-based primary care under an integrated, physician-driven model which included ancillary services such as home health, hospice, radiology, diagnostics, DME, laboratory, and pharmacy.  In 2014, Centene Corporation (NYSE: CNC) acquired a majority interest in USMM, integrating USMM's care delivery model across its Medicaid and dual-eligible membership.  USMM is also a major participant in the Independence at Home Demonstration.



Editor's Details

Mike Wood

Last updated on: 31/08/2016

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