Trinity Health Medicare ACOs Continue Savings for Eighth Year

LIVONIA, MI / ACCESSWIRE / August 25, 2023 / In calendar year 2022, Trinity Health Integrated Care (THIC) ACO, a Medicare Shared Savings Program (MSSP) Accountable Care Organization coordinated high-quality care for over 130,000 lives saving Medicare $56 million, with earned shared savings of $41.2 million to THIC ACO and its participating providers.

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THIC ACO is one of very few renewing ACOs earning shared savings every year of participation. Since the ACO’s launch in 2017, THIC has earned $126 million with an average quality score of 93% and engaged thousands of providers in transforming care for their Medicare beneficiaries. THIC continues to care for these Medicare beneficiaries across nine states in 2023.

Other Trinity Health ACOs in Michigan, Massachusetts, Connecticut, and Iowa also contributed to successful outcomes. Together with the THIC ACO, they coordinate high-quality efficient care for over 255,000 Medicare beneficiaries.

“We are committed to our mission of improving the health of the patients, families and communities we serve,” said Emily Brower, senior vice president, Clinical Integration and Physician Services for Trinity Health. “Our ACOs enable us to do just that while spending smarter on the preventive care that keeps our patients healthier.”

ACOs accept accountability for the quality, cost, and experience of care of the assigned beneficiary population. ACOs provide Medicare beneficiaries with high-quality, coordinated care including getting them the proper care when they need it, increasing preventive care, avoiding unnecessary service duplication, and preventing medical errors.

“With this achievement, our teams again show their commitment to continuous improvement. The challenges brought on by the pandemic gave us opportunities to be proactive in our outreach to high-risk patients through expanded capabilities including telehealth, home visits, post-acute care and remote monitoring,” said Dan Roth, M.D., executive vice president, and chief clinical officer for Trinity Health.

In 2022, Trinity Health’s MSSP ACOs ranged from upside-only to Enhanced two-sided financial risk arrangements representing the most significant risk in Medicare Shared Savings Program tracks. This means, from one year to the next, and depending on performance, Trinity Health Medicare Shared Savings ACOs either share in savings or are required to share in Medicare losses and repay a portion to Medicare.

Trinity Health is a strong proponent of value-based care delivery. We have 17 Clinically Integrated Networks (CINs) that are accountable for approximately two million lives across the country through alternative payment models. Our health care system participates in 14 markets with Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), which includes 11 markets partnering in one national MSSP Enhanced Track ACO, Trinity Health Integrated Care. All of these markets participate in the “enhanced track,” which qualifies as an advanced alternative payment model (AAPM). Two of the 14 markets also participate in CPC+. In addition, we participated in the Bundled Payments for Care Improvement Advanced (BPCIA) initiative and the Comprehensive Care for Joint Replacement (CJR) program across 37 hospitals.

About Trinity Health

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 123,000 colleagues and more than 26,600 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 135 senior care locations, the second-largest PACE program in the country, 136 urgent care locations and many other health and well-being services. Trinity Health has 15 medical groups with 1,324 primary care providers and 4,193 specialty care providers. Based in Livonia, Michigan, its annual operating revenue is $21.5 billion with $1.4 billion returned to its communities in the form of charity care and other community benefit programs. Trinity Health is committed to serving as a critical provider in our communities and coordinating care across settings and the care continuum, with 41% of our revenue coming from Medicare and 18% from Medicaid and uninsured patients.