As part of its ongoing efforts to lower healthcare costs and improve the quality of care, Cleveland Clinic has formed a separate legal entity, Cleveland Clinic Medicare ACO, LLC, to participate in the Medicare Shared Savings Program (MSSP) as an accountable care organization (ACO). In this ACO, Cleveland Clinic employed physicians and selected independent primary care physicians in the Quality Alliance come together to deliver coordinated care to assigned Medicare fee-for-service (FFS) beneficiaries.
The primary objective of the MSSP is to improve the quality of care for Medicare FFS beneficiaries and reduce unnecessary costs by facilitating coordination of care and cooperation among providers. Quality Alliance primary care physicians (internists, family practitioners and geriatricians) who meet specific guidelines for data sharing are eligible to join the MSSP ACO.
As part of the MSSP, the Cleveland Clinic ACO will demonstrate value by meeting 31 standards for high-quality care that include patient safety and experience, care coordination and preventive health. ACOs that lower their growth in health care costs, while meeting performance standards on quality of care and putting patients first, will be rewarded financially.
Our baseline performance data show the greatest opportunities to achieve shared savings are found in:
Visit the CMS web link for more information on ACOs
- Avoidable admissions
- Emergency Department visits
- CT and MRI utilization
- Skilled nursing and other post-acute care