ACO Medicare

Take the risk out of accountable care

The Signify Health difference

By focusing on whole-person, preventative care and delivering appropriate services, ACOs provide a sustainable path to support primary care transformation. Joining an ACO with Signify Health will help your organization implement a proven model of care to achieve quality improvement goals, reduce costs, and mitigate risk. By placing greater emphasis on population health management, your patients will benefit from hands-on care – whether they’re in your hospital or at home.

 

Why an ACO? Why now?

Value-based care is expected to replace a majority of traditional fee-for-service payment models. The Centers for Medicare & Medicaid Services recently announced it expects all Medicare beneficiaries to be covered by an accountable care plan by 2030.

Historically, fee-for-service models of care rewarded providers for every service performed which often prompted unwarranted tests and procedures and resulted in higher-than-necessary costs and duplicative services.

ACO methodologies have demonstrated lower costs, higher quality care, and incentivized providers by offering bonuses when costs are effectively minimized, and preventative care and chronic disease management benchmarks are met.

Clinician reviews health history with male senior citizen while using an iPad

Receive the expertise you need to succeed in value-based programs

 

$510M

total savings to Medicare

 

700K

attributed Medicare lives

 

 

100%

of collaborative participants earning shared savings

(2020-2021)

100%

average MIPS score

Improving healthcare delivery and enhancing the patient experience through collaboration

With Signify Health, your organization will have access to the scale, technology, and expertise vital to succeeding in value-based care.

Create the scale you need to generate more revenue

We build ACOs that can mitigate the normal fluctuations in performance – paving the way for opportunities for generating new, sustainable revenue.

Male clinician and female executive chat in hospital hallway

Create more scale

Data proves larger ACOs have less variation. With Signify Health, you band with other independent health systems for the benefits of scale.

Group of clinicians having a discussion in a hospital corridor

Generate new revenue

Use Signify’s award-winning Provider Engagement Platform to engage patients, improve preventative care, and optimize bonus and incentive programs such as the 340B Drug Discount Program.

Pediatrician speaks to mom, who is holding a baby, while toddler son watches

Stay competitive

Signify Health clients consistently lead the nation by outperforming benchmarks which result in achieving more in shared savings, reporting industry-leading MIPS scores, and capturing more 340B savings.

Frequently Asked Questions

 

What is an ACO?

An accountable care organization (ACO) consists of a group of physicians, hospitals, and other healthcare providers who collaborate to deliver value-based, high-quality care to their Medicare patients. The goal of coordinated efforts and team-based approaches is to ensure patients receive the most suitable care. This includes proactive preventive care which helps to avoid unnecessary duplication of services and medical errors.

How does an ACO work?

When an ACO succeeds in delivering high-quality care and spending healthcare dollars with greater efficacy and efficiency, the ACO will share in the savings it achieves for the Medicare program. These shared savings result in providers, facilities, and healthcare systems receiving funds that can be used to further improve the quality of care with additional resources, additional staff, and improved stability in times of financial uncertainty.

What are the pros of ACOs?

The advantages of participating in an ACO start with the over-arching ability to deliver higher-quality care at lowered costs which not only decreases unnecessary spending but also eliminates and/or helps to reduce replicated tests and procedures. ACO participants utilize a team-based care approach with value-based methodologies which allows physicians the time to spend with more acute patient needs while staff are empowered with more capabilities and time to help patients better understand how to engage in their health and care journey. Medicare experiences less waste to its system and successful ACOs are rewarded with shared Medicare savings which help to continue improved care through additional resources. 

How do ACOs benefit patients?

Patients receive higher quality care at lower costs through value-based care, the core component of an ACO. Participants in an ACO place greater emphasis on preventive care, promoting wellness, and better managing chronic diseases all for the benefit of the patient.

How do ACOs make money?

Providers in an ACO are incentivized to be more efficient and less duplicative in their efforts. When their healthcare delivery is improved by population health methodologies that emphasize value-based care rather than fee-for-service care, ACO participants bring in new population health revenue and earn a share of the savings to Medicare. The larger the ACO, the better the opportunity for substantial financial incentives that are paid directly to the participant. 

What problems do ACOs solve?
At the core of ACOs is a team-based, value-based care approach which focuses on population health. ACOs help to improve the health of their community as well as communication and collaboration between providers in different locations and specialties. There is less duplication of tests and procedures which lowers overall costs. Providers, staff, and patients have improved communication which results in lowered admission rates in both the hospital and emergency department.
How can an ACO work for my organization?
Participation in an ACO provides an underlying financial stability to organizations. As they improve the quality of care through more patient-centric value-based care methods, costs are lowered, unnecessary tests, procedures, and hospital and ED admissions are decreased. Providers experience less burnout due to the team-based care approach and because more time is spent with patients, they are more engaged in their health and more communicative and compliant with their healthcare.

Check out our latest insights

shared savings 21
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Read how our ACOs earned total savings for Medicare of $138 million, leading healthcare organizations nationwide in the Medicare Shared Savings Program.

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ACO Medicare Playbook
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Learn how our data-driven model is powering successful ACOs.

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No Fees, Shared Risk ACO
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Read how Signify Health is positioning providers to better deliver high-value care through our success-based pricing model.

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Ready to succeed in value-based programs?