Fairview named one of 32 Pioneer Accountable Care Organizations
Dec. 19, 2011
Fairview Health Services has been selected by the Centers for Medicare and Medicaid Services (CMS) as one of just 32 provider groups across the country to participate in the new Pioneer Accountable Care Organization (ACO) model.
Since 2008 Fairview has been transforming care delivery and seeking new payment models to create and reward value--enhanced clinical quality and experience and a lower total cost of care. Today’s announcement came from the Centers for Medicare and Medicaid Services (CMS) Innovation Center.
The announcement is the culmination of a competitive selection process that began last May to identify organizations that have demonstrated capabilities to offer high quality, coordinated and cost-effective care.
“These Pioneer ACOs represent our nation’s leaders in health systems innovation, providing highly coordinated care for patients at lower costs,” said Marilyn Tavenner, Acting Administrator of CMS. “Fairview has demonstrated significant experience in providing high quality, coordinated care, and we are excited to partner with them.”
Development of Fairview Health Network
ACOs are groups of doctors and other healthcare providers who work together to provide high quality, cost-effective care for Medicare beneficiaries. Over the last several years, Fairview and Fairview Physician Associates have been developing this type of provider network, called Fairview Health Network.
Fairview Health Network brings together Fairview-employed providers and independent providers who are committed to delivering a higher value to patients. Based on CMS’s definition of primary care (internal medicine, family medicine, geriatrics), 363 providers from 46 Fairview Health Network clinics—both Fairview owned and independent—will participate in the Pioneer ACO. These providers are working together to implement new models of care delivery, including care coordination, and to deliver greater value to patients.
There are more than 19,000 Medicare beneficiaries attributed to Fairview Health Network; attribution is based on where patients have received the majority of their primary care in the past. Medicare beneficiaries attributed to our network will receive a notification letter informing them that their provider and clinic are participating. Patients do not need to enroll or take any action to participate, nor are they limited to the Fairview Health Network.
Clinical quality and patient experience are key
Under the Pioneer ACO Model, CMS will provide incentives for participating health care providers who form an organization to coordinate care for patients. Providers who band together through this model will be required to meet quality standards based upon, among other measures, patient outcomes and care coordination among the provider team. CMS will use robust quality measures and other criteria to reward ACOs like Fairview for providing beneficiaries with a positive patient experience and better health outcomes, while also rewarding Fairview for reducing growth in Medicare expenditures for the same patient population.
Visit the Pioneer ACO website to learn more.