Following Pioneer ACO Year 3 results released by CMS in August 2015, Steward Health Care Network continues to make good on its Promise to provide coordinated, high-quality and cost-efficient care to its 80,000 Pioneer-aligned Medicare beneficiaries.
Promise, Steward's top-performing Pioneer ACO, has generated $30 million of savings in its first three years of participation, according to recently published data.
Lessons from a Leading Pioneer ACO: Value-Based Gains from Physician Engagement, Performance Improvement and Care Management provides veteran advice from Kelly Clements, Pioneer Program Director, Steward Health Care Network. Steward is one of 20 accountable care organizations remaining in the Pioneer program and one of 15 reporting savings for year 3 (2014).
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An early adopter of accountable care, Steward ranked as the top ACO in 2013 and number two in 2012, according to an independent evaluation of ACOs issued by CMS earlier in 2015. Following Year 3, Steward continues to have one of the highest cumulative savings totals in the nation.
Steward's community-based focus, physician road shows and tools that track patients across health facilities both inside and outside its network are just a few success tactics outlined in this resource.
Ms. Clements provides details on the following:
Three key challenges of the Medicare Pioneer ACO program and how Steward is breaking down these barriers;
Steward's seven-year progression into risk arrangements;
- Promise's community care model for coordinating care where its patients reside;
Strategies to both engage and educate physicians in the delivery of accountable care, including a stewardship metric and a host of quality and efficiency indicators;
- Leveraging health IT for Pioneer ACO success, including data analytics and a quality data warehouse that stores clinical metrics from diverse EHR systems;
- Steward's cross-continuum population health approach, from wellness to high-risk, with program features and leading indicators, particularly for management of chronic illness and care transitions;
Two essential patient tracker tools to follow patients within and outside of the Steward care continuum and how these trackers are helping to curb hospital readmissions and ER visits;
Evaluation of Steward's Medicare ACO options for 2016: Pioneer ACO versus Next Generation ACO versus Medicare Shared Savings Program (MSSP);
And much more.
Lessons from a Leading Pioneer ACO: Value-Based Gains from Physician Engagement, Performance Improvement and Care Management provides an insider's look at care coordination and population health methods that are transforming healthcare delivery.
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P.S. -- You may also be interested in these accountable care organization resources: