TAMPA, Fla. and KNOXVILLE, Tenn., Jan.
13, 2020 /PRNewswire/ -- Collaborative Health Systems,
a WellCare Health Plans, Inc. (NYSE: WCG) company, announced today
the more than 150 healthcare providers in the Accountable Care
Coalition (ACC) of Tennessee, LLC
generated $5.3 million in shared
savings in the Next Generation Accountable Care Organization (ACO)
Model during performance year 2018, according to figures released
by the Centers for Medicare & Medicaid Services (CMS).
The ACC of Tennessee was one of
50 Next Generation ACO Model participants for 2018—its first
performance year. The ACC of Tennessee, comprising providers in Summit
Medical Group, Tennessee's largest
primary care organization, achieved an overall quality score of
100% (reporting only).
"We are extremely proud to have generated shared savings in our
first year of operation," said Dr. Bhavana
Vora, medical director for the Accountable Care Coalition of
Tennessee and a partner in Summit
Medical Group. "Our participating providers are committed to
providing beneficiaries with high-quality, preventive care and
chronic illness care coordination and management. We appreciate
that the Next Generation ACO Model allows us to demonstrate how we
provide increased value to the healthcare system and to our more
than 22,000 Medicare Fee-For-Service beneficiaries."
"Our partnership with Collaborative Health Systems, and the many
other physicians who share our vision of high-quality, lower cost
of care, had a very successful first year. We look forward to
continuing our patient-first objectives and providing best-in-class
care to Medicare beneficiaries," said Ed
Curtis, chief executive officer, Summit Medical
Group.
"These results confirm that physicians can thrive and remain
independent by embracing value-based models," said Anthony Valdés,
president of Collaborative Health Systems. "Congratulations to the
ACC of Tennessee for demonstrating
such impressive results in their first year of operation. We look
forward to our continued partnership as we work together to improve
patient care, produce quality outcomes and generate continued
shared savings."
The Next Generation ACO Model was designed under the CMS
Innovation Center to test whether strong financial incentives for
ACOs can improve health outcomes and reduce expenditures for
Medicare Fee-For-Service (FFS) beneficiaries. Under the Model,
groups of doctors and other healthcare providers come together
voluntarily to provide coordinated, high-quality care at lower
costs to their Medicare FFS beneficiaries. Provider groups in
this Model assume higher levels of financial risk and reward than
are available under the Medicare Shared Savings Program (MSSP). The
Model engages beneficiaries in their care through benefit
enhancements designed to improve the patient experience and rewards
seeking appropriate care from providers and suppliers participating
in ACOs.
About the Accountable Care Coalition of Tennessee, LLC
The Accountable Care
Coalition of Tennessee, Inc. is a
Next Generation ACO focused on value-based healthcare. Our
providers, who are located in East
Tennessee, are dedicated to improving the quality of
healthcare and lowering the growth rate of healthcare costs. The
Accountable Care Coalition of Tennessee participates in the CMS Innovation
Center's Next Generation ACO initiative under an annual
participation agreement with CMS. For more information, visit
accoftennessee.com.
About Summit Medical Group
Summit Medical Group,
founded in 1995, is East
Tennessee's largest primary care organization with more than
300 providers at more than 60 practice locations in 13 counties.
Dedicated to providing comprehensive quality care and value, Summit
also consists of four diagnostic imaging centers, mobile diagnostic
services, eight physical therapy centers, four express clinics,
central laboratory and a sleep services center. Summit provides
healthcare services to more than 280,000 patients, averaging over
one million encounters annually. For more information, visit
www.summitmedical.com.
About Collaborative Health Systems
Collaborative
Health Systems (CHS), a WellCare Company, is a management services
organization that partners with independent primary care physicians
as they move to value-based models. Its core belief is that primary
care physicians are in the best position to influence the quality
and cost of healthcare. CHS provides comprehensive support for its
physician partners by providing management services, risk
contracting, and population health capabilities, including
actionable data and other tools, to deliver care coordination and
closure of gaps in care. CHS provides additional services to secure
and deliver favorable value-based contracts with commercial and
other health plans. As of January
2020, CHS manages two Next Generation ACOs, nine MSSP ACOs,
a Care Transformation Organization and three Independent Practice
Associations. For more information, visit
www.CollaborativeHealthSystems.com.
About WellCare Health Plans
Headquartered in
Tampa, Fla., WellCare Health
Plans, Inc. (NYSE: WCG) focuses primarily on providing
government-sponsored managed care services to families, children,
seniors and individuals with complex medical needs primarily
through Medicaid, Medicare Advantage and Medicare Prescription Drug
Plans, as well as individuals in the Health Insurance Marketplace.
WellCare serves approximately 6.4 million members nationwide as of
September 30, 2019. For more
information about WellCare, please visit the company's website
at www.wellcare.com.
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SOURCE WellCare Health Plans, Inc.
