Performance

POM ACO Performance: Shared Savings and Losses

Amount of Shared Savings/Losses:

• Third Agreement Period

  • Performance Year 2020, $0

  • Performance Year 2019A, $0

    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore is specific to the Agreement Period shown.

• Second Agreement Period

  • Performance Year 2019, $10,547,386

    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore is specific to the Agreement Period shown.

  • Performance Year 2018, $18,065,791

  • Performance Year 2017, $20,715,184

  • Performance Year 2016, $0

• First Agreement Period

  • Performance Year 2015, $0

  • Performance Year 2014, $12,075,693

  • Performance Year 2013, $0


Shared Savings Distribution:

• Third Agreement Period

  • Performance Year 2020

    • Proportion invested in infrastructure: N/A

    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: N/A

  • Performance Year 2019A

    • Proportion invested in infrastructure: N/A

    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: N/A

      • Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore is specific to the Agreement Period shown.

• Second Agreement Period

  • Performance Year 2019

    • Proportion invested in infrastructure: 36%

    • Proportion invested in redesigned care processes/resources: 19%

    • Proportion of distribution to ACO participants: 45%

    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore is specific to the Agreement Period shown.

  • Performance Year 2018

    • Proportion invested in infrastructure: 36%

    • Proportion invested in redesigned care processes/resources: 19%

    • Proportion of distribution to ACO participants: 45%

  • Performance Year 2017

    • Proportion invested in infrastructure: 30%

    • Proportion invested in redesigned care processes/resources: 21%

    • Proportion of distribution to ACO participants: 49%

  • Performance Year 2016

    • Proportion invested in infrastructure: N/A

    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: N/A

• First Agreement Period

  • Performance Year 2015

    • Proportion invested in infrastructure: N/A

    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: N/A

  • Performance Year 2014

    • Proportion invested in infrastructure: 50%

    • Proportion invested in redesigned care processes/resources: 15%

    • Proportion of distribution to ACO participants: 35%

  • Performance Year 2013

    • Proportion invested in infrastructure: N/A

    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: N/A

Payment Rule Waivers

Yes, our ACO does use the SNF 3-day Rule Waiver.

2020 Quality Performance Results

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures. For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.