SLPA ACO Celebrates Gainshare Payment for Exceeding Medicare Cost & Quality Goals for 2016.
SLPA ACO, the accountable care organization of the St. Louis Physician Alliance (SLPA), is pleased to announce that the ACO achieved more than $13 million in total savings in the Medicare Shared Savings Program (MSSP) in 2016, its second year in the program. This savings was accomplished with an overall quality score of 91.27%, which means that the Centers for Medicare & Medicaid Services (CMS) will provide $5.8 million in shared savings to SLPA ACO. In 2015, SLPA ACO entered the MSSP and was the only St. Louis based ACO to save money.
SLPA ACO achieved 2016 program savings of greater than 6.5% of their benchmark expenditure target for the approximately 19,000 Medicare beneficiaries the network served. According to SLPA ACO Chairman of the Board, Scott Hardeman M.D., “This exemplary financial and clinical performance is a testament to the quality of care our network provides, and the ability of independent organizations to collaborate to provide excellent outcomes for our patients and the community.”
SLPA ACO Executive Director, Amy Sullivan, added that “We will distribute approximately 75 percent of the performance payment of over $5.8 million to our physician partners this fall. Because SLPA ACO engages both primary care and specialist physicians to manage our patients, primary care providers will share about $2.8 million and specialists will receive an additional $1.4 million.” Success of this magnitude was driven by solid execution on care management initiatives, particularly focusing on helping patients recover quickly from hospital stays and avoiding costly readmissions, Sullivan explained.
SLPA ACO is comprised of more than 600 providers including physicians, mid-levels and non-hospital facility participants. The mission of the St. Louis Physician Alliance, the larger independent physician association (IPA) which incorporates SLPA ACO, is to demonstrate efficient and high quality healthcare to strengthen the position of its members and improve the health of the community.