North Carolina ACOs Achieve Shared Savings in 2016

North Carolina Accountable Care Organizations (ACO) fared well overall in achieving shared savings as part of the Centers for Medicare and Medicaid Services (CMS)  Medicare Shared Savings Program (MSSP) and Next Generation ACO program.  Triad HealthCare Network (THN) in Greensboro, a Next Generation ACO, placed second in the nation with a shared savings payment of $10,735,910. Next Gen ACOs take on more financial risk than other ACO models. THN is Cone Health Care’s ACO, which encompasses a number of independent practices in the Triad.

Next Generation ACOs also qualify as advanced alternative payment models (APM) under the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program, which means those participating in a Next Generation ACO this year may qualify for additional incentive payments beginning in 2019.

Representatives from THN will speak at the NC ACO Council meeting on Nov. 16 at the North Carolina Medical Society’s (NCMS) Center for Leadership in Medicine.

Four other NC-based MSSP ACOS in the state received a shared savings payment. They are:

  • Coastal Carolina Quality Care in New Bern, $2,236,944
  • CaroMont Health in Gastonia: $5,146,102
  • Mission Health Partners in Asheville: $5,375,365
  • CHESS in High Point and Winston-Salem: $3,058,803

North Carolina is home to 30 ACO’s that are part of the MSSP, and three Next Generation ACOS. In general, North Carolina has proven fertile ground for this model of care, which focuses on the Triple Aim of improved patient experience, population health and reduced per capita costs.

The NCMS has been at the forefront in supporting the move to value in North Carolina that ACOs represent. Included in our various initiatives over the years is the extremely successful NC Population Health Collaborative and our comprehensive series of ACO toolkits. Learn more on our website under Accountable Care.

 
 

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