DALLAS, Nov. 29, 2017 /PRNewswire-USNewswire/ — The Southwestern Health Resources Accountable Care Network (ACN) has saved the Centers for Medicare & Medicaid Services (CMS) more than $73 million over the past three years, including nearly $37.3 million in 2016, while maintaining a Quality Score over 95 percent, according to the latest figures. The savings rank the Southwestern Health Resources ACN No. 7 in the nation.
The Southwestern Health Resources ACN manages care for nearly 87,500 Medicare beneficiaries, more than any other Accountable Care Organization (ACO) in North Texas. This is part of a national initiative to reduce costs by coordinating and delivering better health care for Medicare patients. When an ACO exceeds quality and financial thresholds — demonstrating achievement of high-quality care and wiser spending of health care dollars — it is able to share in the savings generated for Medicare.
“These impressive figures demonstrate that our efforts to improve quality while reducing costs for CMS are both successful and sustainable,” said Dr. Mack Mitchell, Chief Medical Officer for the Southwestern Health Resources Physician Network and Accountable Care Network, and Interim Executive Vice President for Health System Affairs at UT Southwestern. “Our success provides further evidence that our efforts to coordinate care for patients combined with identifying opportunities for savings without sacrificing quality are on target.”
“We believe that our accomplishments result from our clinically integrated program and the ability to coordinate and manage care inside the high-performing network that is Southwestern Health Resources,” said Dr. Dan Varga, Senior Executive Officer of Southwestern Health’s Physician Network and Chief Clinical Officer and Senior Executive Vice President of Texas Health Resources. “We continue to be very proud of our successes in achieving a reduction in the cost of care while delivering better quality and outcomes. Ultimately, these results demonstrate how Southwestern Health Resources will benefit patients, health care providers, and the general public.”
As one of the participants in the CMS ACO program, the Southwestern Health Resources ACN has maintained a 95 percent or better Quality Score since launching in 2014 while saving:
During that period, quality scores improved 5 percent among established measures and 13 percent on preventive measures.
The ACO has been among the country’s top-performing programs since 2015.
“What further underscores the effectiveness of our model is that savings and quality ratings have continued to rise while both the network of people served and the quality measures have expanded. That speaks to the focus of our model,”