UCLA to participate as a Medicare Shared Savings Program ACO

Published on January 21, 2013 at 11:39 PM · No Comments

The Centers for Medicare and Medicaid Services (CMS) has announced that the UCLA Health System has been selected to participate in the federal government's Medicare Shared Savings Program as an accountable care organization.

As a participant in the program, the UCLA Health System will work with CMS to provide high-quality service and care to Medicare fee-for-service beneficiaries while reducing the growth in Medicare expenditures through enhanced care coordination.

"Through participation in the Medicare Shared Savings Program and other initiatives, UCLA is taking an innovative approach to health care, focusing on high-value, high-quality care that is truly patient-centered," said Dr. Molly Coye, chief innovation officer for the UCLA Health System. "UCLA aims to be a leader in transforming health care and reining in uncontrolled health care costs."

The Medicare Shared Savings Program was created under the Affordable Care Act to help health care providers better coordinate care for Medicare fee-for-service beneficiaries through accountable care organizations, or ACOs — groups of doctors, hospitals and others who collaborate to provide high-quality service and care for their patients.

"UCLA Health System has truly outstanding, high-quality, evidence-based medical programs, and the Medicare Shared Savings Program provides us with an important framework to better coordinate care for our Medicare fee-for-service beneficiaries," said Dr. David Feinberg, president of the UCLA Health System, CEO of the UCLA Hospital System and associate vice chancellor for health sciences at UCLA.

By creating its own ACO, the UCLA Health System was able to submit an application to participate in the program. UCLA was chosen specifically by CMS to create incentives for health care providers to work together to treat individual patients across care settings — including doctors' offices, hospitals and other health care facilities.

"Accountable care organizations save money for Medicare and deliver higher-quality care to people with Medicare," said U.S. Secretary of Health and Human Services Kathleen Sebelius. "Thanks to the Affordable Care Act, more doctors and hospitals are working together to give people with Medicare the high-quality care they expect and deserve."

The Shared Savings Program will reward ACOs that lower the growth of health care costs while meeting performance standards for quality of care and putting patients first. The participation of health care providers in an ACO is purely voluntary.

ACOs must meet quality standards to ensure that savings are achieved through improved care coordination and the provision of care that is appropriate, safe and timely. CMS has established 33 quality measures on care coordination and patient safety, the appropriate use of preventive health services, improved care for at-risk populations, and patient and caregiver experience of care. Federal savings from this initiative are up to $940 million over four years.

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