Pioneer ACOs proving their prowess
July 16, 2013 in Medical Technology
- Readmissions. Some 78 percent of the ACOs generated lower risk-adjusted readmission rates for their aligned beneficiaries than the benchmark rate for all Medicare fee-for-service beneficiaries.
- Blood pressure control. Pioneer ACOs performed better on clinical quality measures that assess hypertension control for patients. The median rate among Pioneer ACOs on blood pressure control among beneficiaries with diabetes was 68 percent compared to the comparison value of 55 percent as measured in adult diabetic population in 10 managed care plans across seven states from 2000 to 2001.
- Cholesterol control for diabetes patients. Pioneer ACOs performed better on clinical quality measures that assess low density lipoprotein control for patients with diabetes. The median rate among Pioneer ACOs for LDO control among beneficiaries with diabetes was 57 percent compared to 48 percent in an adult diabetic population in 10 managed care plans across seven states from 2000 to 2001.
The American Medical Group Association was one group applauding the efforts of the agency and groups who signed on with the ACO model. “As with any ambitious effort of this scale, the movement to value-based, accountable, coordinated care for patients is an evolutionary process. Programs like ACO initiatives will take many years to mature, especially because they are creating and testing new models for payment and care delivery,” said Donald W. Fisher, AMGA President and CEO, in a July 16 press statement. “AMGA is encouraged by the achievements of the Pioneer ACO participants in the first year of the program. We also pledge our continued support of our members that are committed to promoting better health care at lower costs in the Pioneer ACO and Medicare Shared Savings programs.”