On July 16, 2013, the Centers for Medicare and Medicaid Services (CMS) announced results from the first performance year of the Pioneer Accountable Care Organization Model (the Pioneer Model). The Pioneer Model was designed for health care organizations and providers that were already experienced in coordinating care for patients across care settings. It allowed these provider groups to move more rapidly from a shared savings payment model to a population-based payment model on a track consistent with, but separate from, the Medicare Shared Savings Program. Overall, more than 250 organizations participate in the Pioneer Model and the Medicare Shared Savings Program, serving more than 4 million Medicare beneficiaries. Below are results of year one outcomes for Pioneer ACOs:
1. ACO Savings:
2. ACO Quality:
3. Other Results:
McGuireWoods’ health care group counsels clients from all sectors of the health care industry. If you have any questions regarding preparing for an ACO or forming an ACO, please contact one of the authors.