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Affordable Care Act Improves Care, Controls Medical Costs

April 10, 2012

A new program that will help physicians, hospitals, and other providers work together to improve care for people with Medicare is off to a strong start, the Centers for Medicare & Medicaid Services (CMS) said.

Under the new Medicare Shared Savings Program (Shared Savings Program), 27 Accountable Care Organizations (ACOs) have entered agreements with CMS, taking responsibility for the quality of care furnished to people with Medicare in return for the opportunity to share in savings realized through improved care. The Shared Savings Program and other initiatives related to Accountable Care Organizations are made possible by the Affordable Care Act, the health care law of 2010. Participation in an ACO is purely voluntary for providers and beneficiaries and people with Medicare retain their current ability to seek treatment from any provider they wish.

The first 27 Shared Savings Program ACOs will serve an estimated 375,000 beneficiaries in 18 states. This brings the total number of organizations participating Medicare shared savings initiatives on April 1 to 65, including the 32 Pioneer Model ACOs announced last December, and six Physician Group Practice Transition Demonstration organizations that started in January 2011.

In all, as of April 1, more than 1.1 million beneficiaries are receiving care from providers participating in Medicare shared savings initiatives.

CMS also announced today that five ACOs are participating in the Advance Payment ACO Model beginning April 1. This model will provide advance payment of expected shared savings to rural and physician-based ACOs participating in the Shared Savings Program that would benefit from additional start-up resources. These resources will help build the necessary care coordination infrastructure necessary to improve patient outcomes and reduce costs, such as new staff or information technology systems. CMS is reviewing more than 50 applications for Advance Payments that start in July.

Accountable Care Organization/Collaborative Health Systems Partnerships

Accountable Care Coalition of Caldwell County, LLC Lenoir, NC
Accountable Care Coalition of Coastal Georgia Ormond, FL (Serving beneficiaries in GA and SC)
Accountable Care Coalition of Eastern North Carolina, New Bern, NC
Accountable Care Coalition of Greater Athens Georgia Athens, GA
Accountable Care Coalition of Mount Kisco, LLC Mount Kisco, NY
Accountable Care Coalition of the Mississippi Gulf Coast, LLC Clearwater, FL (Serving beneficiaries in the Mississippi Gulf Coast area)
Accountable Care Coalition of the North Country, LLC Canton, NY
Accountable Care Coalition of Southeast Wisconsin, LLC Milwaukee, WI
Accountable Care Coalition of Texas, Inc. Houston, TX

AHS ACO, LLC Morristown, NJ (Serving beneficiaries in NJ and PA)
AppleCare Medical ACO, LLC Buena Park, CA
Arizona Connected Care, LLC Tucson, AZ
Chinese Community Accountable Care Organization New York
CIPA Western New York IPA, doing business as Catholic Medical Partners Buffalo, NY
Coastal Carolina Quality Care, Inc. New Bern, NC
Crystal Run Healthcare ACO, LLC Middletown, NY (Serving beneficiaries in NY and PA)
Florida Physicians Trust, LLC Winter Park, FL
Hackensack Physician-Hospital Alliance ACO, LLC Hackensack, NJ (Serving beneficiaries in NJ and NY)
Jackson Purchase Medical Associates, PSC Paducah, KY
Jordan Community ACO Plymouth, MA
North Country ACO Littleton, NH (Serving beneficiaries in NH and VT)
Optimus Healthcare Partners, LLC Summit, NJ
Physicians of Cape Cod ACO Description of Organization Hyannis, MA
Premier ACO Physician Network Lakewood, CA
Primary Partners, LLC Clermont, FL
RGV ACO Health Providers, LLC Donna, TX
West Florida ACO, LLC Trinity, FL

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