Medicare Pioneer ACOs that saved money on patient care—and will share Medicare's $140 million in total savings for 2012—credit their success to an intense focus on improving coordination and care for the most complex and costly patients.
One Pioneer success story is New York City-based Montefiore Medical Center, which operates one of the 32 Pioneer ACOs launched last year by the Center for Medicare and Medicaid Innovation, which was created by the Patient Protection and Affordable Care Act. Montefiore, with 23,000 enrollees, will receive $14 million from Medicare.
Boston-based Partners HealthCare, with 52,000 patients, will receive $14.4 million in shared savings. Phoenix-based Banner Health Network will get $13 million for its management of about 50,500 patients. Also in Boston, Beth Israel Deaconess Care Organization claimed a payout of nearly $7.8 million after bringing spending under budget for 30,000 Medicare patients. And Indianapolis-based Franciscan Alliance ACO, with 20,000 enrollees, will pocket $6.6 million.
In total, 13 Pioneer ACOs will receive a combined $76.1 million because of their cost-saving success in the first year of the Pioneer effort. Another five Pioneers also saved Medicare money, but not enough to earn bonus payouts.
Steve Rosenthal, vice president and chief operating officer for Montefiore's case management operations, said his organization's ACO was able to “zero in very quickly” on the roughly 2,000 patients who accounted for nearly half the group's medical costs.