Mercy Accountable Care, LLC and Quality Health Alliance, LLC – two local members of Trinity Health Integrated Care, LLC, a Medicare Shared Savings Program (MSSP) Enhanced Track-Accountable Care Organization (ACO) – are among those to share in savings for performance in 2019. Trinity Health Integrated Care earned $13.7 million in earned shared savings while maintaining a quality score above 90 percent. Mercy Accountable Care will receive $1.9 million and Quality Health Alliance will receive $3.1 million. Quality Health Alliance-ACO, LLC is a partnership of St. Mary Medical Center, Langhorne Physician Services, and physicians in the community.
The achievement marks $44.9 million in earned shared savings for Trinity Health Integrated Care ACO over the past three performance years. In this time period, Trinity Health Integrated Care also saved the Centers for Medicare and Medicaid Services (CMS) $62.9 million.
MSSP provides the incentive of sharing in savings as a reward for providing high-quality care at a more affordable cost to a CMS-assigned Medicare fee-for-service beneficiary population. As an MSSP Enhanced Track ACO, Trinity Health Integrated Care participates in a two-sided financial risk arrangement that represents the greatest amount of risk and reward within the Medicare Shared Savings Program. This means, from one year to the next, and depending on performance, Trinity Health Integrated Care – and other MSSP Enhanced Track ACOs – can either share in savings or be required to share in Medicare losses and repay a portion to Medicare.
“We are thrilled to have notched another successful year of providing quality care, improving outcomes and achieving savings,” said Daniel L. Bair, FACHE, regional executive director for Trinity Health Mid-Atlantic Clinically Integrated Networks. “Our mission is to be a transforming healing presence in our communities so that we can become our neighbors’ trusted healthcare partners for life. Our ability to ensure coordinated care for our patients also makes it easier for our participating providers to deliver that high-quality care.”