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Published on January 11, 2016

Triad HealthCare Network Chosen for Medicare Initiative Building on Success of ACOs

“Next Generation” ACO Model sets stronger measures and more opportunities for care.

Triad HealthCare Network (THN) has been selected to participate in the Centers for Medicare & Medicaid Services (CMS) new accountable care organization (ACO) Model. The Next Generation ACO Model (NGACO Model) builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through this new Model, CMS will partner with THN and other ACOs experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward.

“By focusing on coordination of care and keeping people healthy, we continue to be able to improve outcomes for our patients while providing higher quality and lowering costs,” says THN Chief Administrative Officer Steve Neorr. “We are confident the Next Generation ACO Model will continue to better align our efforts to ensure the needs of our patients and their families remain at the center of what we do every day.”

THN’s approach has been able to reduce medical expenses by $25 million in the first two years of participation in the Medicare Shared Savings Program while the quality of care has remained high with THN meeting or exceeding the quality goals monitored in the program.

Medicare ACOs have grown to 477 nationwide, serving more than 8.9 million beneficiaries. The organizations selected to take part in the NGACO Model were chosen through an open and competitive process from a large applicant pool that included many qualified organizations.

“We look forward to working with our newly selected Next Generation ACO Model participants to
move our health care system toward one that delivers better care, smarter spending and healthier people,” said Patrick Conway, M.D., deputy administrator and chief medical officer for CMS. “This ACO model responds to stakeholder requests for the next stage of the ACO model that enables greater engagement of beneficiaries, a more predictable, prospective financial model, and the flexibility to utilize additional tools to coordinate care for beneficiaries.”

The Next Generation ACO Model is part of the Department of Health and Human Services’ efforts to increase the percentage of Medicare payments that are based on the quality of care rather than the quantity of care provided to patients. The goal is to have 30 percent of Medicare payments through these alternative payment Models by the end of this year and 50 percent by the end of 2018.

For more information on the Next Generation ACO Model, visit the Next Generation ACO Model web page.

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