TROY, Mich., Nov. 1, 2017 /PRNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) released the 2016 performance year results for the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). U.S. Medical Management (USMM) was a participating ACO, saving CMS $44.5 million in 2016, while achieving an overall quality score of 97.25 percent.
Total 2016 MSSP savings, inclusive of all savings and losses relative to financial benchmarks, were over $1.4 billion. Of the 432 participating ACOs, only 134 generated those savings and received performance payments totaling $700 million. These results demonstrate that physicians, hospitals and health care providers participating in ACOs continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings. This is USMM's second year in the program, generating savings for CMS in both years. USMM is the only MSSP ACO dedicated exclusively to the home-limited population.
"Everyone at USMM is pleased with the 2016 results of USMM Accountable Care Partners, both from a quality perspective and financially. We have always believed that our care model for home-bound patients produces better patient outcomes at lower costs than traditional care models and these results further validate that belief," said Michael Smith, CEO of USMM.
Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
USMM, along with its affiliated entities (Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, and The Home DME), is a leading management services organization and provider of home based primary care services for complex/fragile patients. Based in Troy, Michigan, USMM operates Visiting Physician Association (VPA) practices in 12 states, constituting a 200 + primary care provider group.VPA provides continuity-based primary care under an integrated, physician-driven model that includes ancillary services such as home health, hospice, radiology, DME, and laboratory. USMM is a subsidiary of Centene Corporation (NYSE: CNC), with an integrated care delivery model across its Medicaid and dual-eligible membership.
About Centene Corporation
Centene Corporation, a Fortune 100 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored programs, Medicare (including the Medicare prescription drug benefit commonly known as "Part D"), dual eligible programs and programs with the U.S. Department of Defense and U.S. Department of Veterans Affairs. Centene also provides healthcare services to groups and individuals delivered through commercial health plans. Centene operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services.
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SOURCE U.S. Medical Management (USMM)