The UC San Diego Health Accountable Care Network improved the care of more than 32,000 Medicare beneficiaries in San Diego, Riverside, and Imperial Counties, and saved Medicare nearly $ 7 million by leveraging advanced population health technologies and processes to help Beat quality and cost targets in 2020 based on recently released performance data from the federal agency that administers Medicare.
UC San Diego’s Health Accountable Care Network achieved a 97 percent quality rating on performance measurements ranging from preventive health checks to the use of computerized health records to preventing avoidable hospital stays, Medicare data shows.
“Realizing shared savings working with our network of community providers means we can reinvest those dollars in care coordination, information technology, and other care improvements to further improve quality and reduce costs,” said Parag Agnihotri, MD, Chief Medical Officer, UC San Diego Health Accountable Care Network.
“Our success in the Accountable Care Organization (ACO) program is another achievement in addition to our national and regional awards and rankings,” said Duncan Campbell, chief operating officer of the UC San Diego Health Accountable Care Network. “Our success is driven by our incredible providers who work closely with their patients to ensure smooth transitions from the clinic to the hospital, home – or, if necessary, a nursing home.”
The ACO is also focused on increasing the number of Medicare beneficiaries who take advantage of annual wellness visits, including recommended checkups and preventative measures. Integrating performance data into our network enables providers to share best practices and improve care coordination to avoid health problems and repeated hospitalizations.
As a market-based solution to fragmented and costly care, responsible care organizations enable local doctors, hospitals and other providers to work together and take responsibility for improving quality, improving the patient experience and making care affordable. The Medicare Shared Savings Program (MSSP) creates incentives for ACOs to invest in public health initiatives by enabling them to participate in savings that they generate after reaching defined quality and cost targets.
In 2020, 517 ACOs serving over 11 million beneficiaries nationwide participated in the MSSP and achieved gross savings of $ 1 billion based on the Centers for Medicare & Medicaid Services’ methodology for setting financial benchmarks.
“Medicare ACO’s joint austerity program is the country’s largest value-based payment model and a critical tool in moving the healthcare system to better value,” said Agnihotri.
A fact sheet with more information on MSSP ACOs is available online along with other resources.
UC San Diego Health Accountable Care Network includes Perlman Medical Offices, San Diego Sports Medicine, North Coast Family Medicine, Rancho Family Medical Group, Imperial Valley Family Care, and dozens of other groups serving San Diego, Riverside, and Imperial Counties.
UC San Diego Health is the only academic health care system in the San Diego area, providing cutting-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute designated Comprehensive Cancer Center, the Shiley Eye Institute, the Sulpizio Cardiovascular Center, and several outpatient departments. UC San Diego Medical Center in Hillcrest is a designated Level I trauma center and has the county’s only burn center.