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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

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