1/ The 2024 Medicare Shared Savings Program results are released from embargo!
topline results:
10,326,340 bene-years (12% @AledadeACO )
$6,452,075,989 in savings versus benchmark
$4,062,804,612 in payments to ACOs (19% Aledade)
Largest savings ever
Higher quality than FFS🎉
topline results:
10,326,340 bene-years (12% @AledadeACO )
$6,452,075,989 in savings versus benchmark
$4,062,804,612 in payments to ACOs (19% Aledade)
Largest savings ever
Higher quality than FFS🎉
2/ fact sheet:
$643 (2024) vs $515 (2023) in gross per capita savings
Almost 2x savings rate for "low revenue ACOs" (physician-led/FQHC/RHCs) and for those composed predominantly of primary care clinicians vs high revenue ACOs (typically hospital-led)
cms.gov/files/document…
$643 (2024) vs $515 (2023) in gross per capita savings
Almost 2x savings rate for "low revenue ACOs" (physician-led/FQHC/RHCs) and for those composed predominantly of primary care clinicians vs high revenue ACOs (typically hospital-led)
cms.gov/files/document…
3/ How do they get savings?
"lower utilization compared to their benchmark across many categories of utilization including hospital discharges, Emergency Department visits and Skilled Nursing Facility stays"
Better chronic disease management
More prevention
Less suffering
"lower utilization compared to their benchmark across many categories of utilization including hospital discharges, Emergency Department visits and Skilled Nursing Facility stays"
Better chronic disease management
More prevention
Less suffering
4/ On the most important measure of clinical quality- what saves the most lives- blood pressure control, ACOs not only do significantly better than unmanaged fee for service, they are also improving (from 77.80% to 79.49%)
That is very good news
(Aledade avg is 83.24%, friends)
That is very good news
(Aledade avg is 83.24%, friends)
5/ There were 11M beneficiaries who *could* have been in an ACO, but weren't (@1klomp wants them all in ACOs)
Their hospitalization rate was 290/1000
MSSP assigned benes? 257/1000 (Aledade 236)
That's a difference of 595,000 hospitalizations
(and over a million fewer ED visits)
Their hospitalization rate was 290/1000
MSSP assigned benes? 257/1000 (Aledade 236)
That's a difference of 595,000 hospitalizations
(and over a million fewer ED visits)
@1klomp 6/ For the doubters out there- these savings are not achieved by giving worse care, stinting
Our best performing ACO (Louisiana) with 17.3% savings rate
#1 of all 476 ACOs in timely appointments
#1 in Care Coordination
#3 in Communications
#3 in Rating of Provider
That's how.
Our best performing ACO (Louisiana) with 17.3% savings rate
#1 of all 476 ACOs in timely appointments
#1 in Care Coordination
#3 in Communications
#3 in Rating of Provider
That's how.
@1klomp 7/ Can CMS/ Insurance Cos spend less money by cutting benefits for patients, denials, shifting costs to them? Sure
Can they spend less money by cutting pay to doctors? Definitely
But show me another program where patients get more care, doctors get more pay, and society saves?
Can they spend less money by cutting pay to doctors? Definitely
But show me another program where patients get more care, doctors get more pay, and society saves?
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