Atrius Health Joins CMS Next Generation Accountable Care Organization Model

| Posted On Jan 19, 2017 | By:

We are delighted to announce that our organization has been selected to participate in the 2017 Centers for Medicare & Medicaid Services’ (CMS) Next Generation Accountable Care Organization (ACO) Model – a transformative initiative sponsored by the CMS Innovation Center. As a Next Generation ACO, Atrius Health will work closely with CMS to provide its Medicare beneficiaries with higher-quality care at lower costs.

Today’s announcement was the culmination of a competitive selection process that began in March 2016 with the national release of a Request for Letters of Intent from CMS. The Next Generation ACO Model is an initiative for ACOs experienced in coordinating care for populations of patients, allowing the ACO to assume higher levels of financial risk and reward than are available under the current Pioneer ACO Model and Medicare Shared Savings Program. It grants organizations greater flexibility in benefit enhancements and payment models, such as the ability to provide telehealth services to beneficiaries in their homes. The Next Generation ACO Model also provides an incentive to Medicare beneficiaries who receive an Annual Wellness Visit from a Next Generation ACO Participant or Preferred Provider, which promotes care coordination.

“Atrius Health has a long history of success in providing leading-edge care to our patients as an accountable care organization. We are proud to continue this journey as part of the Next Generation ACO Model,” said Steven Strongwater, MD, President & CEO of Atrius Health. “Our experience as a Pioneer ACO has enabled us to build upon our strengths in providing high-quality, coordinated care for our patients across the continuum. CMS has been an excellent partner in this work, and we look forward to further collaboration and innovation with them in the years to come.”

Atrius Health has a strong foundation of coordinating care across a continuum with accountability for cost, outcomes of care and patient experience. Having recently completed its fifth and final year in the CMS Pioneer ACO Model, the organization has demonstrated a strong track record in year-over-year improvement in savings and has consistently been rated above the 90th percentile among Pioneer ACOs in terms of quality. During the 2015 performance year the organization saved Medicare nearly $6.8 million compared to its target, returning $4.4 million in savings to Atrius Health.

“Joining the Next Generation ACO Model reflects the tremendous progress we have made over the years in managing care for the over 25,000 Medicare beneficiaries served in our Pioneer ACO,” said Emily Brower, Vice President of Population Health at Atrius Health. “We are excited to move forward and work alongside CMS and our Next Generation colleagues as part of a collective effort to transform healthcare payment and delivery for the benefit of our patients.”

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