Since 2016, CHESS Health Solutions’ physician-led Accountable Care Organizations (ACOs) have reduced Medicare spending by more than $43 million (for NGACO and MSSP combined). This has been done by reaching quality benchmarks and cost savings goals that are set by the Centers for Medicare and Medicaid Services. The result has been better patient care at a lower cost.
These savings were obtained through the Centers for Medicare and Medicaid Services (CMS) Next Generation Accountable Care Organization Model and Medicare Shared Savings Program (MSSP).
Since its inception in 2016, CHESS NextGen, LLC ACO has generated $31 million in Medicare savings by achieving superior performance measures ranging from preventive health checks to use of computerized health records to preventing avoidable hospitalizations, Medicare data show. This was the fifth performance year in the program. In 2020, the ACO, which included the providers from Catawba Valley Medical Group, Wake Forest Health Network and Wake Forest University Health Sciences, generated $3.6 million in savings with a quality score of 96.9 percent.
CHESS Value, LLC, which began participating in the MSSP in 2017, has saved Medicare $12.75 million since its inception. Participants include health care providers from AdventHealth Hendersonville (Fletcher Hospital, Inc.), Hugh Chatham Memorial Hospital, Grace Hematology and Oncology, Parkwood Eye Center, Carolina Ophthalmology, PA., and Northern Regional Hospital. In 2020, the ACO generated Medicare savings of $4.7 million and achieved a quality score of 96.87 percent.
CHESS NextGen, LLC and CHESS Value, LLC are both open Monday-Friday from 8 A.M. – 5 P.M.
Accountable Care Organizations are groups of doctors, hospitals, and other health care providers, who work together to provide high-quality care to keep Medicare beneficiaries healthy through prevention, innovation, care coordination and information sharing. This collaboration is part of the payment evolution necessary for the transformation in healthcare from fee-for-service to alternative models that reward quality, safety, and coordination.