Atrius Health recently announced that its Pioneer Accountable Care Organization (ACO) has achieved over a 95 percent quality score from the Centers for Medicare & Medicaid Services (CMS) and saved Medicare $6.8 million. Atrius Health’s practices achieved high quality and patient experience scores while also achieving savings for Medicare according to 2015 results released today by the CMS. These results demonstrate the organization’s continued success in achieving the Triple Aim of improving health outcomes and patient experience as well as reducing the total cost of care. Atrius Health, an innovative nonprofit healthcare leader consisting of 29 medical practices and a home health and hospice subsidiary, was one of 32 organizations nationally initially selected to participate in the Medicare Pioneer ACO Model.
The CMS chose 33 quality measures to represent patient/caregiver experience, care coordination, and patient safety, preventive health, and risk for patients with diabetes, hypertension, ischemic vascular disease, and heart failure and/or coronary artery disease. On 30 of the 33 measures, Atrius Health scored above the mean. All measures include Medicare beneficiaries who received most of their primary care at an Atrius Health practice, including Dedham Medical Associates, Granite Medical Group and Harvard Vanguard Medical Associates.
Based on the CMS analysis, Atrius Health performed above the 90th percentile benchmark on several measures across all care domains examined. For care coordination and patient safety, Atrius Health was above the 90th percentile benchmark for providers who met meaningful use requirements and screening patients for falls risk. For preventive health, Atrius Health was above the 90th percentile benchmark in pneumonia vaccination and breast cancer screening. For care of at-risk populations, Atrius Health was above the 90th percentile benchmark for use of beta blockers in patients with certain types of heart failure.
Atrius Health has been providing superlative care for decades—and this is strongly evident in their Medicare patients’ self-reported assessments of the overall patient-caregiver experience. Atrius Health rated above the 90th percentile benchmark on how well providers communicate and patients’ ratings of provider.
“At Atrius Health we feel our greatest strength is the relationship we build with our patients based on a foundation of understanding, knowledge and trust. This vision and philosophy guides everything we do,” said Steven Strongwater, MD, President and Chief Executive Officer of Atrius Health. “We are particularly proud of the work we have done to improve patient experience and care communication, which are major contributors in terms of providing patients with high quality and cost-effective care. But most of all, we take great pride in receiving such positive feedback from our patients.”
“By knowing our patients well, we are able to serve them well, providing the right care that enriches their health and enhances their lives,” said Richard Lopez, MD, Senior Vice President of Population Health at Atrius Health. “It is in our DNA to continuously improve the quality of care we provide to our patients and we are delighted to see that recognized with a quality score of over 95 percent. This translates into so much more than a better patient experience; it helps patients lead happier, healthier lives.”
For its fourth year in a row as a Pioneer ACO, Atrius Health has also seen improved financial performance. For the over 25,000 Medicare beneficiaries served by Atrius Health clinicians participating in the Pioneer ACO Model in 2015, Atrius Health saved Medicare $6.8 million compared to its target, returning $4.4M in savings to Atrius Health. Atrius Health’s cost of care is the lowest among Massachusetts Pioneer ACOs. The organization’s strong historical performance is due in large part to decreasing unnecessary hospital admissions and helping people recover safely at home. Atrius Health applies its savings to investments in care coordination, training, data analytics, information technology, and other resources serving its Medicare beneficiaries and other patients.
“These results are a further testament to the significant progress we are making to innovate in a way that allows us to achieve the Triple Aim of improved health outcomes and patient experience, while also bringing down the total cost of care,” added Dr. Strongwater. “I’m thrilled to once again extend my congratulations to the many clinicians and staff across our organization whose close collaboration and dedication to our patients made this incredible accomplishment possible.”