What is an Accountable Care Organization (ACO)?
- ACOs are groups of doctors and other healthcare providers who voluntarily work together with Medicare to give patients high-quality service and care at the right time in the right setting.
- Hartford HealthCare has agreed to participate in a Medicare Shared Savings ACO and to work closely with other doctors and healthcare providers in the ACO to coordinate care for Medicare beneficiaries who have traditional Medicare.
- The ACO may share in any savings that result from providing you with high-quality and more coordinated care.
ACOs do not change a patient's Medicare benefits
- An ACO is not a Medicare Advantage plan or an HMO plan.
- If patients have traditional Medicare, they still have the right, at any time, to use any doctor or hospital that accepts Medicare.
- We may continue to recommend that patients see particular doctors for their specific health needs, but it’s always the patient's choice about what doctors they use.
How will an ACO help doctors coordinate patient care?
- Patients benefit because their doctors are part of a better coordinated team.
- Patients may not have to fill out as many medical forms that ask for the same information.
- Each of our doctors will not only know about the health issues they’ve treated, they also will have a more complete picture of a patient's health through talking with other doctors in the ACO.
About Hartford HealthCare's ACO
Ambulatory Care Facilities
- Backus Physician Services, CONNCare Inc., Hartford HealthCare Medical Group, Mansfield Family Practice, Physicians Alliance of Connecticut LLC, Windsor Medical Associates LLC
Acute Care Facilities
- Hartford Hospital, The Hospital of Central Connecticut, MidState Medical Center, Windham Community Memorial Hospital
ACO Participants in Joint Ventures Between ACO professionals and hospitals
- No participants are involved in a joint venture between ACO Professionals and Hospitals
ACO Governing Body
- Dr. Jack Schmetterling, Voting Member and Chair, Hartford HealthCare Medical Group
- Dr. Wilmer Samson, Voting Member and ACO Medical Director, Hartford HealthCare Medical Group
- Dr. Spencer Erman, Voting Member and ACO CMIO, Hartford Hospital
- Dr. Michael Keenan, Voting Member, Hartford HealthCare Medical Group
- Dr. Elizabeth Brady, Voting Member, Hartford HealthCare Medical Group
- Dr. Jeffrey Stein, Voting Member, Hartford HealthCare Medical Group
- Dr. Anuraddha Walaliyadda, Voting Member, Physicians Alliance of Connecticut LLC
- Dr. Ian Kleinhen, Voting Member, Windsor Medical Associates LLC
- Dr. Cunegundo Vergara, Voting Member, Hartford Hospital
- Dr. Morton Goldberg, Medicare Beneficiary
Key ACO Clinical and Administrative Leadership
- Dr. Michael Pinnolis, ACO Executive Director; Board Treasurer/Secretary; Chief Medical Officer, Integrated Care Partners, HHC
- Debra Kelly-Hayes, ACO Executive; Chief Operating Officer, Integrated Care Partners, HHC
- Catherine Earle, ACO CMS Liaison; Director, Strategic Operations, Integrated Care Partners, HHC
- Rebecca Stewart, ACO Media Contact, Director of Media Relations, HHC
- Tammy O’Shea, ACO Compliance Contact; Compliance and Privacy Officer, Hartford HealthCare Medical Group
Associated Committees and Committee Leadership
- Dr. Ethan Foxman, Chair, Quality and Performance Management, Jefferson Radiology, Hartford Hospital
Amount of Shared Savings and Losses
- Performance Year 1, 2012/2013; Earned Shared Savings Payments/Owe Losses: $0
- Performance Year 2, 2014; Earned Shared Savings Payments/Owe Losses: $0; Quality Score: 90.02%
- Performance Year 3, 2015; Earned Shared Savings Payments/Owe Losses: $0
Types of ACO Participants or Combinations of Participants that Formed the ACO
- ACO professionals in a group practice arrangement
- Network of individual practices of ACO professionals
- Arrangement between hospitals and ACO professionals
How Shared Savings are Distributed
- Proportion invested in infrastructure – 10% of total shared savings to be distributed to HHC to offset infrastructure expenses
- Citizenship – 60% of the remaining shared savings will be distributed to all HHC ACO PCP providers based on their attributed lives
- Quality Performance – 30% of the remaining shared savings will be distributed to the HHC ACO participating practices based on their GPRO quality performance
2015 Quality Performance Results
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MSSP Public Reporting on Quality
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