Lehigh Valley, Pa.,
11:04 AM

Lehigh Valley Health Network Accountable Care Organization, LLC: Medicare Shared Savings Program Performance Year 2016 Quality and Financial Results

The Centers for Medicare & Medicaid Services (CMS) announced the 2016 performance year results for the Medicare Shared Savings Program. Medicare Accountable Care Organizations are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated, high quality care to their Medicare patients.

The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO meets quality and financial thresholds – demonstrating achievement of high-quality care and wiser, more efficient spending of health care dollars – it is able to share in the savings generated for Medicare. An ACO may create savings for CMS, but if this minimum threshold is not achieved, the ACO does not receive any additional payment from the shared savings program. LVHN ACO performed in the top 20% for savings when compared to the other 26 ACOs with a presence in Pennsylvania.

In 2016, the Lehigh Valley Health Network (LVHN) Accountable Care Organization (ACO) provided high value and cost efficient care, achieving an outstanding quality score of ~98%. In addition to providing exceptional care, the LVHN ACO achieved a total savings of over $4.8 million dollars. Despite the savings, the minimum threshold was not achieved, which means that the LVHN ACO did not receive any of those savings back from CMS.

“The LVHN ACO recognizes the hard work that all of our physician and advanced practice clinician participants contribute to making this endeavor successful,” said Jennifer Stephens, DO, Medical Director of LVHN ACO. “We continue to be committed to high value, integrated healthcare that puts our patients first.”