Press Releases

January 14, 2020

HealthCare Partners ACO Achieves Savings for Second Year

(El Segundo, CA – January 14, 2020) -- HealthCare Partners ACO is excited to announce it achieved savings for the second year of participation in Medicare’s Next Generation Accountable Care Organization (ACO) Model.

“We’re proud to demonstrate through our participation in this model of care delivery how meaningful reductions in the cost of health care can be achieved,” said Dr. Derek Chao, chief medical officer, HealthCare Partners.

ACOs are comprised of groups of doctors and other health care providers who work together to voluntarily provide coordinated, high-quality care at lower costs. HealthCare Partners ACO has participated in the Next Generation ACO Model for three years.

The savings produced in 2018 is attributed to quality performance in utilization management (the evaluation of medical necessity, appropriateness, and efficiency of use of health care services).

HealthCare Partners ACO supported nearly 21,600 Medicare beneficiaries through several of its key initiatives, including an emergency department to home program that identifies and reaches out to ACO beneficiaries at different points in the acute care continuum. Through outreach, HealthCare Partners was able to reduce emergency department utilization and hospital readmission rates.

The HealthCare Partners ACO has a personalized care team made up of nurse case managers and care coordinators. This team collaborates with the HealthCare Partners network of providers and regional resources to support care coordination efforts in California.

Dedicated services include:
• Providing transition of care services to ACO beneficiaries discharging from a hospital or emergency department
• Stratifying risk and engaging ACO beneficiaries with chronic conditions and complex needs in disease and case management programs
• Ensuring beneficiary health and supportive care resources are accessible
• Extending to ACO beneficiaries the HealthCare Partners medical management programs, such as specialized high-risk programs, house calls, and palliative care programs

“HealthCare Partners has proven that our coordinated best-practices approach in caring for Medicare fee-for-service beneficiaries works in achieving savings,” said Dr. Chao. “As participants in the Next Generation ACO Model, we have been able to improve the health outcomes of our patients by focusing on decreasing utilization and reaching high quality thresholds.”

The Next Generation ACO Model is a Centers for Medicare & Medicaid Services Innovation Center initiative introduced in 2016 that builds upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program. With a total of 41 participating ACOs, the Model offers a new opportunity in accountable care to enable providers and beneficiaries greater opportunities to coordinate care and attain high quality standards of care. Unlike other models, this Model includes a prospectively (rather than retrospectively) set benchmark, allows beneficiaries to choose to be aligned to the ACO, and tests beneficiary incentives for seeking care at Next Generation ACO providers.