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Fact Sheet: New Accountable Care Organization Model

DEPARTMENT OF HEALTH & HUMAN SERVICES . Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop C5-15-12 . Baltimore, Maryland 21244-1850. FACT SHEET New Accountable Care Organization Model Opportunity: Medicare ACO Track 1+ Model On December 20, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a new Center

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HealthPartners Products for …

A provider contracted with the health plan may not be included in a ll networks. Because networks can be custom designed for individual employers (e.g., “ABC Employee Plan” listed on member’s card), and can also be dynamic, it is imperative to verify each member’s

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ACOs in Your State

ACO SNF affiliates are associated with those ACOs that are approved to use the Shared Savings Program SNF 3-Day Rule Waiver. The ACO SNF affiliates are listed with their ACO’s organizational information. Use the additional features on the top of the website toolbar to personalize your search for ACO data. page.

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From: cms.gov

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Topcon Screen Bridges the Gap in

Health Partners, Inc., a non-profit medical and den-tal clinic in Waldorf, MD for the under-insured and uninsured residents of Southern Maryland. They recently began using Topcon Screen in their primary care office and have seen very positive results. “Having screening in the primary care space is a huge benefit. People are looking for

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HIE Participants

P3 Health Partners ACO, LLC PathfinderHealth, LLC Phoenix Children's Care Network Steward Health Care Network Behavioral Health Providers (119) A New Leaf Alevea Mental Health Alium Health, LLC Community Bridges, Inc. Community Family Services Community Health Associates, Inc.

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From: healthcurrent.org

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Current UnityPoint Accountable Care Network Participants

Allergy Partners of Cedar Rapids Amana Family Practice Associates for Behavioral Healthcare The Bridges at Ankeny The Iowa Clinic Endoscopy Center The Iowa Clinic, PC Grand River Medical Group, PC UnityPoint Health - Trinity Regional Medical Center Webster County Health Dept Wellendorf ENT, PC

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From: unitypoint.org

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Health Current Data Providers May 17, 2021

Health Current Data Providers May 17, 2021 Account Name Organization Type ADTs Physical Health Part 2 Clinical Information Innovation Care Partners Accountable Care Organization (ACO) YES YES YES Aurora Behavioral Health - Tempe, LLC Behavioral Health Hospital YES YES YES YES Community Bridges, Inc. Integrated Health (Physical & Behavioral

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From: healthcurrent.org

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Collaborative Case Management

The Scottsdale Health Partners Care Management Program bridges the gap in communication, while assisting with disease Scottsdale Health Partners (SHP) is an organization strategically positioned to (ACO) status. During that first year, SHP successfully obtained shared

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From: innovationcarepartners.com

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HealthQx Partners with HCI3, Leader in Value based Payment

HealthQx Partners with HCI3, Leader in Value-based Payment Reform KING OF PRUSSIA, PA, Sept. 15, 2014 /PRNewswire/ – HealthQx , a company that analyzes big data to uncover the best (ACO). According to Bill Conlan, COO of Health Qx, “We are excited to leverage HCI3’s clinical logic and expertise to help for Bridges to Excellence

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From: bioadvance.com

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ONE COMMUNITY OF CARERS

with health service providers in the community has largely been transactional in nature, with patients being referred to them post-discharge for follow-up care. To actualise the shift to the Central Health Model, there is a need for a local network of health and social care partners to come together to strengthen the health of our community in a

Download: ROL_Chapter 3.pdf

From: corp.nhg.com.sg

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PowerPoint Presentation

Value to Physicians Value to Payers Value to Health Systems Affiliation with the ACO brand and strategy Redefine provider relationship from bridges. Consumers are at a loss Partners Innovation and Excellence in Advanced Illness at End of Life . 8/28/2018 11

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From: cchospice.org

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Keystone Health Information Exchange Service Catalog

KeyHIE partners with its member organizations to improve CCDA data quality through scoring techniques performed on their respective CCDA data. This cooperative effort allows providers to see the quality of their electronic health record (EHR) generated CCDAs and to pinpoints areas where key data element improvements can be made.

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2017 Next Generation ACO Participant Providers

2017 Next Generation ACO Participant Providers (KO = KentuckyOne Health) P.S.C. Allen, Robert, MD Anesthesiology KO Anesthesia Associates (Jewish) Louisville, KY Alnabki, Ziad, MD Internal Medicine HIPS (Hospitalist Group) Louisville, KY Altobellis, Stephanie, MD Internal Medicine KO Primary Care Associates Louisville, KY

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From: chisaintjosephhealthpartners.org

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Tapping Into New Payment and Delivery Models

• Distribution to Participants and Partners • This model recognizes the contributions of other providers and community partners to the overall success of the ACO – In 2015, over $360,000 was distributed to community partners and partners Savings Losses PCPs 27.5% 27.5% Specialists 27.5% 27.5% Hospitals 40% 45% Partnering providers (eg

Download: MHACOSMAA_9-28-16-n4a_ASA-webinar-slides.pdf

From: aginganddisabilitybusinessinstitute.org

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Rockland County Community Health Improvement Plan

year improvement cycle. Annual Community Health Forum events are planned where essential feedback from partners can be garnered on the issues being addressed, the data points being collected, and to assist in evaluating progress towards the designated goals. It is anticipated that any decisions to

Download: Web RC Combined CSP CHIP 2019-2021.pdf

From: bschs.org

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Annual Report Fiscal Year 2019

and reducing health care costs. The Coalition represents employer interests in working with health plans, health care providers, benefits consultants, suppliers and other system stakeholders to address population health priorities and to ensure that when health care is needed it is accessible, affordable, high-quality, and safe. Staff

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Making Cent$ of Health Care Costs

• Covenant Health Partners* Rio Grande Valley Laredo • Seven Flags ACO LLC* Houston • Houston Regional Accountable Care Organization, LLC • Memorial Hermann Accountable Care Organization • National ICN, Inc. (Tenet) • Platinum Physician Associates • PracticeEdge Alliance ACO LLC. • Renaissance Physician Organization

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From: hfmatxgc.org

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STATEWIDE ARIZONA AMERICAN INDIAN BEHAVIORAL …

Outreach Manager, Community Bridges Gabriel Yaiva, Tribal Liaison, Health Choice Integrated Care . ii TABLE OF CONTENTS Executive Summary 1 Agenda 2 Introduction 3 health partners. ─ Start an email distribution list. ─ Conduct quarterly meetings in various locations throughout Arizona. 2

Download: SAZAIBHF_Symposium_Final_Report_2017.pdf

From: acoihc.az.gov

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Limo T. Cherian

Limo Cherian focuses her practice on health care regulatory, transactional and litigation issues. She has ACO Quality Reporting in 2021: Key Changes from the Medicare Provided advice regarding formation and operation of Bridges Health Partners.

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From: klgates.com

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Minnesota Blue Cross Blue Itasca Medical Health Action

Bridges to Excellence (MNBTE). Hennepin County The majority of respondents provide information aggregated at the patient and population level. Itasca Medical utilized for ACO health management information. Twoway from the perspective that the based on attributed claims data that is collected, reported back to monthly and

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From: dhs.state.mn.us

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Remington Report’s 18th Annual Symposium Post Acute & …

This symposium bridges together ACOs, health systems, and post-acute providers (home health, hospice, palliative care, long-term care services, and community-based organizations) as invaluable partners with a shared goal of identifying synergistic solutions to improve care delivery. Harnessing Bi-Directional Knowledge

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From: remingtonreport.com

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2013 ANNUAL REPORT

Health North have greatly impacted the variety and quality of the care provided. In 2013, we began work on establishing Adirondacks ACO, an accountable care organization, to make it easier for doctors and hospitals to collaborate, improve care and slow the growth of health care costs. An evolution of the Adirondack Region Medical Home

Download: cvph2013AnnualReportFINAL.pdf

From: cvph.org

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Reimagining Care. Changing Lives.

Health Professions Education In-Kind Contributions Community Health Improvement Services Other Means-Tested Government Programs $0.3 Research $0.6 Community Building Subsidized Health Services Government Shortfalls $1.5 $4.7 $6.8 $16.7 $34.5 $37.9 $119.4 Inspired by our faith, SCL Health addresses the most serious health-related needs of those

Download: annualreport2016071116.pdf?la=en

From: sclhealth.org

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Exhibit 09: ACO Gainsharing Plan Public Feedback

o Develop bridges between the various local community advisory boards in Camden o More opportunities for networking, dialogue, and lessons learned sharing between primary care practices in the city o Continue to use the phone line as a feedback mechanism for the ACO for patients who do not have computers Health Related Areas to Address in Camden:

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From: camdenhealth.org

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Composite Measures: A New Gold Standard in Diabetes Care

commitment to improve health care in 16 AF4Q communities is the largest effort of its kind ever undertaken by a U.S. philanthropy. AF4Q asks the people who get care, give care and pay for care to work together to improve the quality and value of care delivered locally. The Center for Health Care Quality in the Department of Health Policy

Download: Resource-final_diabetes_piece.pdf

From: forces4quality.org

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Maine – Model Testing, 1G12012000014

Maine – Model Testing, 1G12012000014 RESPONSES February 11 Questions 3 Question Response was submitted. Move Towards New Payment Models -Self insured purchasers and large employers are collectively moving towards risk based contracts and entering into …

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From: www1.maine.gov

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Panel 1: Eligible Professionals

and has received NCQA recognition for Patient Centered Medical Home (Bridges to Excellence) Level 3. Dr. Ashinsky is an original ONC Health IT Fellow, and was a finalist in the CDC Million Hearts Blood Pressure Challenge. Dr. Ashinsky is part of Optimus Healthcare Partners (ACO in NJ which participates with several insurance companies

Download: MUWG_Presenter_Bio_Sketches_2014-05-20.pdf

From: healthit.gov

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Using Risk Contracting to Reduce Service Use, Improve

the health plan. Patients covered by the health plan selected one of the IPA’s member physicians. The partners worked together to build a comprehensive specialty and hospital network including about 600 spe-cialty physicians and two hospital systems. This three-way partnership defi ned clinical, management, and

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2018 SDMGMA Third Party Payer Day

Organization (ACO) Products (Robin in WI and Bridges in IA) • The majority of our members in SD are self-insured • We obtained our fully-insured license in South Dakota in 2018. HealthPartners Health Plan Government Plans • Medicare Products • Cost • Supplement • Advantage

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From: sdmgma.org

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Development Talent Ban the box policy gains backers Plant

roads, bridges and drinking water is A‘rmant Health Partners in Ka- ty, called The Federation ACO, will be assigned 71,000 traditional Medicare

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From: crainsdetroit.com

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2017 2018

Key Partners and Community Groups. The following key partners were critical to the implementation of Forensic Assertive Community Treatment: • Mercy Maricopa Integrated Care (administered by Aetna Medicaid) • Community Bridges, Inc. (CBI) • Maricopa County Smart Justice Committee • Maricopa County Criminal Justice System

Download: 2017_Compendium_v4_Awarded_LT.pdf

From: medicaidinnovation.org

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HIT Policy Committee Accountable Care

Nicollet Health Partners Care System Here I am. in terms of the ACO legislation, out in the field and I think other people would obviously want to comment as well, we’re seeing everything. We are seeing a functionality that pretty much bridges all the structural – the entire range of the structure and the delivery

Download: 2013-06-28_policy_ac_final_transcript.pdf

From: healthit.gov

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Table of Contents

Care Organization (ACO) partners, as well as preparing for active engagement in New York State’s payment reform efforts. patient activation and self-management and contribute to the complexity of transforming health care delivery. The Brooklyn Bridges PPS is committed to transforming health care delivery and envisions an IDS

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From: health.ny.gov

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Case Studies

chaplains, managers, community partners, SNF liaisons, outpatient clinic liaisons, community clinics liaisons, and more 3. members of the hospital ACO and Population Health Management work. Information is bidirectional between these teams. Bridges Program- MD …

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From: app.ihi.org

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2nd Annual National Opioid Crisis Management Congress

Sr Dir - Administration MaineHealth ACO National Director Takeda Sr Director, Behavioral Health Strategy and Operations Health Partners Senior Medical Director for Behavioral Health CIGNA President Bridges International National Account Manager Daiichi Sankyo .

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From: brinetwork.com

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Meeting the Challenge of Healthcare Change

Outpatient Behavioral Health Case Management Program •Bridges gap between inpatient and outpatient services and patients who present to the ED in crisis •Serves psychiatric and/or substance abuse outpatient population •Uses masters prepared, licensed mental health professionals •Services provided: –Continued assessment of needs

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From: marylandpatientsafety.org

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Leatherstocking Collaborative Health Partners y3q2 appeal

Leatherstocking Collaborative Health Partners PPS DSRIP Year 3, Quarter 2 APPEAL 1 Leatherstocking Collaborative Health Partners PPS (LCHP) submitted an appeal requesting that the Independent Assessor (IA) reconsider the Patient Engagement submission for Projects 2.b.viii and the initial determination for 2.d.i Milestone 9.

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From: health.ny.gov

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Department of Health and Mental Hygiene and Maryland

Frederick Regional Health System Establishment of Bridges Program (targeted collaboration with faith- based communities focusing on peer support and education to work with patients with chronic health conditions) Collaboration with NH’s (readmit rates: 25% -> 13%, with some in single digits)

Download: Learning Collaborative Presentation 7-16-15.pdf

From: pophealth.health.maryland.gov

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2018 MMGMA Day with the Payers

• Largest consumer-governed non-profit health plan in the country • We serve more than 1.5 million medical and dental health plan members nationwide • Our care system includes a multispecialty group practice that of more 1,700 physicians and 6 hospitals Mission: To improve health and well-being in partnership with our members,

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From: cdn.ymaws.com

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The Connecticut State Innovation Model

Population Health Improvement Pathway Community Integrated Health Systems (Health System 3.0) Environmental Strategies Health System Strategies Community Linkages Strategies ASSETS Plans: Healthy CT 2020 • SHA • SHIP Chronic Disease Plan Partners Healthy CT Coalition • (150+ members) Data • BRFSS, Mortality • Hospital /ED discharge

Download: presentation_cmmi_interview_-_10_1_2014_final.pdf

From: healthreform.ct.gov

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Accountable Care Organizations

Build bridges among ACO providers, and other community based organizations not formally part of the ACO Develop evidence based practices and use them Commit to developing a diverse workforce Let people know you are a social worker A way out of our silos.

Download: Bachman PPT Handouts ACOs & Social Work Roles.pdf

From: cdn.ymaws.com

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The Medical Home: Road to an ACO

Source: Leavitt Partners Center for Accountable Care Intelligence, January 2013 • Estimated 400+ public and private ACO’s in 43 states • Medicare specific ACOs: ‒ First ACOs (10 organizations) part of the PGP demonstration project beginning in 2006 ‒ 32 CMMI “Pioneer” participants, program began 1/1/2012 ‒ Medicare Shared

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From: ehcca.com

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The IHI Triple Aim and Implications for Rural and Critical

'Bridges to Health' Model. Milbank Quarterly, Vol. 85, No. 2, pp. 185-208, June 2007. Population/Cost Segments 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % Population % Cost Long, dwindling course Organ system failure Short period of decline near death Stable, significant • ACO • Bundled Payments partners ready to engage Smaller

Download: Beasley Triple Aim Flex Conf July 2013.pdf

From: ruralcenter.org

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Care Coordination at Frederick Regional Health System

• ACO Care Management, expanded integration with provider practices • Strategy to address underserved areas in the county (based on ED utilization) • Bridges Program – Building Medical Religious Partnerships

Download: 3-Frederick-Memorial-Hospital.pdf

From: hscrc.maryland.gov

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Innovation & Quality: Hawaii

Health- Partners 1993 US Healthcare. 1985. Health- Partners. 1993. Integrated Healthcare Association P4P Program Launched Integrated Healthcare Association. P4P. Program Launched. GE & Bridges to Excellence Diabetes Care GE & Bridges to Excellence . Diabetes Care. HMSA HQSR Program Launched PCMH & ACO Payment Reform: Value-based

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From: ehcca.com

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North Suffolk Mental Health Association Executive Summary

Behavioral Health training modules, these building blocks will be used to develop and support the We will develop bridges with our ACOs by requesting quarterly meetings where the focal point will be to collaborate on consumer care, review Care Coordinator effectiveness and We intend to work actively and diligently with our ACO partners

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From: mass.gov

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Updated COVID 19 Resources

strategic partners (Health Center Controlled Networks, National Training and Technical Assistance CHART Model’s ACO Track RFA Delayed to Spring 2022 The Centers for Medicare & Medicaid Services (CMS) announced that the Healthy Lives bridges this gap by …

Download: SORH-April-Newsletter.pdf

From: vdh.virginia.gov

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T H E F U T U R E O F H E A LT H C A R E I S NOW

Partners HealthCare Internet Café Denise Parker-Bridges RDH, MHA, Dental Health Program Director Outer Cape Health Services Elizabeth Powell, DDS, MPH, Dental Director Codman Square Health Center Facing the Challenges of Health Reform & ACO Development: Strengthening the Financial

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From: massleague.org

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