Triad HealthCare Network Chosen for New Medicare Initiative

Centers for Medicare & Medicaid Services choose Triad HealthCare Network for Next Generation Accountable Care Organization model

Following a rigorous and competitive selection process, Triad HealthCare Network (THN) has been chosen to participate in the Centers for Medicare & Medicaid Services (CMS) new accountable care organization (ACO) model – the Next Generation ACO Model.

This new model builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through the new model, CMS will partner with THN and other ACOs that are experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward.

“By focusing on coordination of care and keeping people healthy, we continue to be able to improve outcomes for our patients while providing higher quality and lowering costs,” says THN Chief Administrative Officer Steve Neorr. “We are confident the Next Generation ACO Model will continue to better align our efforts to ensure the needs of our patients and their families remain at the center of what we do every day.”

In its first two years of participation in the Medicare Shared Savings Program, THN reduced medical expenses by $25 million while maintaining a high quality of care. THN consistently met or exceeded the quality goals monitored by the program.

“We look forward to working with our newly selected Next Generation ACO Model participants to move our health care system toward one that delivers better care, smarter spending and healthier people,” said Patrick Conway, MD, deputy administrator and chief medical officer for CMS. “This ACO model responds to stakeholder requests for the next stage of the ACO model that enables greater engagement of beneficiaries, a more predictable, prospective financial model, and the flexibility to utilize additional tools to coordinate care for beneficiaries.”

The Next Generation ACO Model is part of the Department of Health and Human Services’ efforts to increase the percentage of Medicare payments based on the quality of care rather than the quantity of care provided to patients. Payments are expected to increase to 30 percent by the end of 2016 and to 50 percent by the end of 2018.

For more information on the Next Generation ACO Model, visit the Next Generation ACO Model web page.