Universal American Accountable Care Organization in the Maryland/Virginia Region Chosen as a Medicare Next Generation ACO
2017年3月28日 - 10:00PM
ビジネスワイヤ(英語)
Innovative model recognizes primary care
physicians’ history and success in coordinating care
Universal American Corp. (NYSE:UAM) announced that Accountable
Care Coalition of Chesapeake, LLC (ACC Chesapeake), an accountable
care organization formed in partnership with primary care
physicians, was chosen by the Centers for Medicare and Medicaid
Services (CMS) to participate in the Next Generation ACO Model
beginning on January 1, 2017. The Next Generation ACO Model is a
value-based payment model that encourages providers to assume
greater risk and reward for improving the quality and reducing the
cost of healthcare of Medicare Fee-For-Service beneficiaries.
In partnership with Collaborative Health Systems (CHS), a
Universal American subsidiary, the 200 providers of ACC Chesapeake
will serve more than 28,000 Medicare beneficiaries in the
Maryland/Virginia region. The selection recognizes the success
these physicians have had as participants in Medicare Shared
Savings Program ACOs in which they have been responsible for
coordinating care to improve healthcare outcomes while lowering
costs.
Under the Next Generation ACO Model, ACC Chesapeake primary care
physicians will have stronger financial incentives and tools at
their disposal to engage beneficiaries and provide care to enhance
Medicare Fee-For-Service. For instance, telemedicine services
received at a beneficiary’s home will be covered and allow
physicians to offer care through telephonic, online, and other
electronic communications. Enhanced access to skilled nursing
facilities will enable beneficiaries to enter a facility without a
three-day inpatient hospital stay.
Jeffery Spight, President of CHS, spoke about the providers’
success in adapting to value-based care models and taking on
increasing levels of risk. “We are honored that ACC Chesapeake was
chosen to participate as a Next Generation ACO. Since 2013, the
providers in this ACO have worked hard and demonstrated their
ability to effectively coordinate care for their patients as
participants in the Medicare Shared Savings Program. Now as
participants in a Next Generation ACO, these providers are
well-positioned to take on a higher degree of accountability for
their patients’ healthcare to be measured by improvements in
quality of care and lower healthcare expenditures.”
Vinu Ganti, M.D., member of the ACC Chesapeake Management
Committee, spoke about the recent announcement and partnership with
Collaborative Health Systems. “We are delighted to be chosen for
the Next Generation ACO Model. This selection reflects the
successful collaboration between our providers and the CHS team. We
look forward to continuing to work with CHS as we advance our
ability to engage with beneficiaries in new ways to improve
health.”
ACC of Chesapeake is Universal American’s second Next Generation
ACO Model. The first one, the Accountable Care Coalition of
Southeast Texas, began in January 2016 and is based in Houston,
Texas.
About Universal American Corp.
Universal American (NYSE: UAM), through our family of healthcare
companies, provides health benefits to people covered by Medicare.
We are dedicated to working collaboratively with healthcare
professionals, especially primary care physicians, in order to
improve the health and well-being of those we serve and reduce
healthcare costs. For more information on Universal American,
please visit our website at www.UniversalAmerican.com.
About Collaborative Health Systems
Collaborative Health Systems (CHS), a Universal American company
(NYSE: UAM), is a management services organization that partners
with primary care physicians as they move to value-based payment
systems. Our core belief is that primary care physicians are in the
best position to influence the quality and cost of healthcare. CHS
provides comprehensive support for its physician partners by
providing actionable data to help coordinate care and helping
practices change behavior to meet the new quality requirements of
the value-based payment system. In 2017, CHS manages two Next
Generation Model ACOs and 16 MSSP ACOs, with more than 5,200
providers, mostly primary care physicians, covering 222,000
Medicare beneficiaries. In addition, CHS partners with physician
groups that have come together to form Independent Physician
Associations (IPAs). For more information, visit
www.CollaborativeHealthSystems.com.
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Universal American Corp.Sarah Bell,
914-597-2908sbell@universalamerican.com
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