TAMPA, Fla. and HOUSTON, Jan. 13,
2020 /PRNewswire/ -- Collaborative Health Systems, a
WellCare Health Plans, Inc. (NYSE: WCG) company, announced today
that the more than 160 healthcare providers in the Accountable Care
Coalition (ACC) of Southeast
Texas, Inc. generated $6.4
million in shared savings in the Next Generation Accountable
Care Organization (ACO) Model during performance year 2018,
according to figures released by the Centers for Medicare &
Medicaid Services (CMS).
The ACC of Southeast Texas,
which is in its third year in the Next Generation ACO Model, was
one of 50 Next Generation ACO Model participants for 2018. This
marks the second consecutive year the ACC of Southeast Texas generated shared savings for a
total of $15.6 million for
performance years 2017 and 2018. Additionally, providers achieved
an overall quality score of 96% in performance year 2018.
"We are extremely proud to have generated shared savings for our
providers and the Medicare program for the second consecutive
year," said Dr. Clive Fields, chair
of the Accountable Care Coalition of Southeast Texas. "We continued to reduce
unplanned hospitalizations and emergency room visits for our
Medicare beneficiaries, which demonstrates our commitment to
high-quality preventive care, such as influenza immunization,
health screenings and chronic illness care coordination management.
We are grateful the Next Generation ACO Model allows us to
demonstrate how we can provide increasing value to the healthcare
system and for our more than 17,000 Medicare Fee-For-Service
beneficiaries."
"Congratulations to our partners at the Accountable Care
Coalition of Southeast Texas for
these impressive results," said Anthony Valdés, president of
Collaborative Health Systems. "The ACO is demonstrating how
physicians can thrive and remain independent by embracing
value-based models. We look forward to our continued partnership as
we work together to improve patient care, produce quality outcomes
and generate continued shared savings."
The Next Generation ACO Model was designed under the CMS
Innovation Center to test whether strong financial incentives for
ACOs can improve health outcomes and reduce expenditures for
Medicare Fee-For-Service (FFS) beneficiaries. Under the Model,
groups of doctors and other healthcare providers come together
voluntarily to provide coordinated, high-quality care at lower
costs to their Medicare FFS beneficiaries. Provider groups in
this Model assume higher levels of financial risk and reward than
are available under the Medicare Shared Savings Program (MSSP). The
Model engages beneficiaries in their care through benefit
enhancements designed to improve the patient experience and rewards
seeking appropriate care from providers and suppliers participating
in ACOs.
About the Accountable Care Coalition of Southeast Texas, Inc.
The Accountable
Care Coalition of Southeast Texas,
Inc. is a Next Generation ACO focused on value-based healthcare.
Our providers, who are located in Texas, are dedicated to improving the quality
of healthcare and lowering the growth rate of healthcare costs. The
Accountable Care Coalition of Southeast
Texas has participated in the CMS Innovation Center's Next
Generation ACO initiative under annual participation agreements
with CMS since being selected as one of 18 participants for the
first performance year in 2016. For more information, visit
accofsetexas.com.
About Collaborative Health Systems
Collaborative
Health Systems (CHS), a WellCare Company, is a management services
organization that partners with independent primary care physicians
as they move to value-based models. Its core belief is that primary
care physicians are in the best position to influence the quality
and cost of healthcare. CHS provides comprehensive support for its
physician partners by providing management services, risk
contracting, and population health capabilities, including
actionable data and other tools, to deliver care coordination and
closure of gaps in care. CHS provides additional services to secure
and deliver favorable value-based contracts with commercial and
other health plans. As of January
2020, CHS manages two Next Generation ACOs, nine MSSP ACOs,
a Care Transformation Organization and three Independent Practice
Associations. For more information, visit
www.CollaborativeHealthSystems.com.
About WellCare Health Plans
Headquartered in
Tampa, Fla., WellCare Health
Plans, Inc. (NYSE: WCG) focuses primarily on providing
government-sponsored managed care services to families, children,
seniors and individuals with complex medical needs primarily
through Medicaid, Medicare Advantage and Medicare Prescription Drug
Plans, as well as individuals in the Health Insurance Marketplace.
WellCare serves approximately 6.4 million members nationwide as of
September 30, 2019. For more
information about WellCare, please visit the company's website
at www.wellcare.com.
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SOURCE WellCare Health Plans, Inc.
