Deaconess Care Integration (DCI) has been selected to participate in CMS’s (Centers for Medicare & Medicaid) new accountable care organization (ACO) model called the Next Generation ACO Model (NGACO Model).
The NGACO Model was designed by CMS to build on the experience of the early Pioneer ACO Model and the Medicare Shared Savings Program. The NGACO Model sets stronger measures and more opportunities for improving quality care.
“We are honored to be selected for this new initiative and are committed to improving the value of care provided to the community,” said Dr. James Porter, executive vice president and chief physician executive of Deaconess Health System. “The Next Generation ACO Model is one of many innovative payment and care delivery models and is an important step toward advancing models of care that reward value over volume in care delivery.”
The NGACO Model is part of the Department of Health and Human Services’ efforts to create opportunities for providers to enter into alternative payment models and move an increasing percentage of Medicare payments into models that pay providers based on the quality, rather than the quantity, of care they provide patients.
Including DCI, a total of 21 ACOs are participating in the NGACO Model in 2016 that are experienced in coordinating care for populations of patients, and whose provider groups are ready to assume higher levels of financial risk and reward. These organizations were selected through an open and competitive process from a large applicant pool that included many qualified organizations.
“We look forward to working with our newly selected Next Generation ACO Model participants to move our health care system toward one that delivers better care, smarter spending and healthier people,” said Patrick Conway, M.D., deputy administrator and chief medical officer for CMS.
According to CMS, the Medicare Shared Savings Program and Pioneer ACOs have demonstrated an improved ability to provide better quality of care for beneficiaries while producing savings as they become more experienced in these initiatives. DCI began in 2012 as a Medicare Shared Savings Program ACO that included primary care physicians within the Deaconess system. Confident in its success, DCI pursued the NGACO Model opportunity while also expanding its participants to include regional physicians.
“We were successful in the early years of the Medicare Shared Savings Program, so we decided to open our doors and invite other regional physicians to participate with us, not just for Medicare Shared Savings Program and NGACO, but also for care provided to commercially insured patients,” said Dr. Fredrick Wallisch, executive director of Deaconess Care Integration. “To accomplish this, we started OneCare Collaborative in early 2015 as a vehicle for community providers to collaborate in their efforts to provide highly-coordinated, quality care.”
For more information on the Next Generation ACO Model, please visit the Next Generation ACO Model web page at https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/
The OneCare Collaborative is a group of hospitals, primary care physicians, nurses and other care professionals in the Tri-State region who are committed to improving the health of our community through high-quality, coordinated care. Inclusive of DCI, OneCare Collaborative brings together five regional health care facilities and over 160 primary care providers in the Tri-State region to work together for the health of our community. In addition to Deaconess executive leadership, OneCare leadership personnel include Dr. Fredrick Wallisch, DCI executive director, Dr. David Koehler, OneCare market medical director, and Heather Orth, OneCare managing director.
Deaconess Health System consists of six hospitals in Southern Indiana: Deaconess Hospital, Deaconess Gateway Hospital, The Women’s Hospital, The Heart Hospital, Deaconess Cross Pointe, and HealthSouth Deaconess Rehabilitation Hospital. Additionally, the health system includes Deaconess Clinic, a fully integrated multispecialty group featuring primary care physicians as well as top specialty doctors. Also included in the health system are a freestanding Cancer Center, Urgent Care facilities, a network of preferred hospitals and doctors, more than 20 care sites, and multiple partnerships with other community health care providers.
About OneCare Collaborative
OneCare Collaborative brings together five regional health care facilities and more than 160 primary care providers in Southern Indiana and the surrounding Tri-State region. By joining the OneCare Collaborative, providers gain access to the extensive operational and financial infrastructure needed to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. Participating systems include Deaconess Hospital and The Heart Hospital in Evansville, IN, Good Samaritan Hospital in Vincennes, IN, Memorial Hospital in Jasper, IN, and Methodist Hospital in Henderson, KY.