Check Your Area - CMS Names Pioneer ACOs
Publish Date: 1/18/2012
Established by the Affordable Care Act, the Medicare Shared Savings Program provides incentives for Accountable Care Organizations (ACOs) that meet standards for quality performance and reduce costs while putting patients first. Final rules for ACOs were published on November 2, 2011.
Now, the Centers for Medicare & Medicaid Services (CMS) is testing an alternative ACO model, the Pioneer ACO Model. The Pioneer ACO Model is designed to support organizations with experience in operating as an ACO. The Pioneer ACO Model will test a shared savings and shared losses arrangement with higher levels of risk and reward for the participating ACOs than the Shared Savings Program outlined in the November 2011 rules.
In December 2011, CMS announced 32 Pioneer ACOs, chosen for their experience in offering coordinated, patient-centered care in ACOs and ACO-like arrangements. The 32 Pioneer ACOs are:
|
Organization
|
Service Area
|
1
|
Allina Hospitals and Clinics
|
Minnesota and Western Wisconsin
|
2
|
Atrius Health Services
|
Eastern and Central Massachusetts
|
3
|
Banner Health Network
|
Phoenix, Arizona Metropolitan Area
|
4
|
Bellin-Thedacare Healthcare Partners
|
Northeast Wisconsin
|
5
|
Beth Israel Deaconess Physician Organization
|
Eastern Massachusetts
|
6
|
Bronx Accountable Healthcare Network
|
New York City (the Bronx) and lower Westchester County, NY
|
7
|
Brown & Toland Physicians
|
San Francisco Bay area, CA
|
8
|
Dartmouth-Hitchcock ACO
|
New Hampshire and Eastern Vermont
|
9
|
Eastern Maine Healthcare System
|
Central, Eastern and Northern Maine
|
10
|
Fairview Health Systems
|
Minneapolis, MN Metropolitan area
|
11
|
Franciscan Health System
|
Indianapolis and Central Indiana
|
12
|
Genesys PHO
|
Southeastern Michigan
|
13
|
Healthcare Partners Medical Group
|
Los Angeles and Orange counties, CA
|
14
|
Healthcare Partners of Nevada
|
Clark and Nye counties, NV
|
15
|
Heritage California, ACO
|
Southern, Central and Coastal CA
|
16
|
JSA Medical Group, a division of HealthCare Partners
|
Orlando, Tampa Bay, and surrounding South Florida
|
17
|
Michigan Pioneer ACO
|
Southeastern Michigan
|
18
|
Monarch Healthcare
|
Orange County, CA
|
19
|
Mount Auburn Cambridge Independent Practice Association (MACIPA)
|
Eastern Massachusetts
|
20
|
North Texas Specialty Physicians
|
Tarrant, Johnson and Parker counties in north Texas
|
21
|
OSF Healthcare System
|
Central Illinois
|
22
|
Park Nicollet Health Services
|
Minneapolis, MN Metropolitan area
|
23
|
Partners Healthcare
|
Eastern Massachusetts
|
24
|
Physician Health Partners
|
Denver, CO Metropolitan area
|
25
|
Presbyterian Healthcare Services - Central New Mexico Pioneer Accountable Care Organizations
|
Central New Mexico
|
26
|
Primecare Medical Network
|
Southern California (San Bernadino and Riverside Counties)
|
27
|
Renaissance Medical Management Company
|
Southeastern Pennsylvania
|
28
|
Seton Health Alliance
|
Central Texas (11 county area including Austin)
|
29
|
Sharp Healthcare System
|
San Diego County
|
30
|
Steward Health Care System
|
Eastern Massachusetts
|
31
|
TriHealth, Inc.
|
Northwest Central Iowa
|
32
|
University of Michigan
|
Southeastern Michigan
|
Additional information about the Pioneer ACO Model program is available from CMS.