CHESS Innovation and CHESS Value ACOs and its Participating Providers have achieved substantial Medicare Shared Savings (MSSP) results, generating over $3.5 million in gross savings to Medicare.
In 2024, CHESS Innovation, which includes Advent Health Hendersonville, Catawba Valley Medical Group, and Northern Regional Hospital, achieved a quality score of 91.76%, marking its highest score to date—a reflection of strong clinical performance and coordinated care efforts. Alongside the clinical success, CHESS Innovation ACO generated $509,000 in total savings, resulting in a $374,000 payout retained by the ACO.
Simultaneously, CHESS Value ACO, which includes Hugh Chatham Health and Kintegra Health delivered an even more substantial impact, generating $3 million in savings and retaining a $1.1 million payout. CHESS Value also reached a new milestone in quality with a score of 88.93%, its best performance since inception. In real numbers, this means the ACO avoided 810+ unnecessary hospital admissions, prevented 2,400+ emergency department visits and reduced 220+ unnecessary skilled nursing facility admissions thanks to continued efforts around utilization.
“These results reflect the exceptional work happening across our network,” said Yates Lennon, MD, President of CHESS. “Our teams continue to deliver value-based care that not only improves patient outcomes but also drives meaningful cost savings. We’re proud of this performance and what it says about the strength of our approach.”
CHESS Innovation is an accountable care organization (ACO) representing a group of over 400 health care providers and CHESS Value represents 356 health care providers, all who have come together to provide coordinated, high-quality care to the Medicare beneficiaries they serve.
In the MSSP Model, a budget is set for an accountable care organization to provide care for a large group of Medicare patients. To be eligible for payment, the ACO must submit quality scores across multiple areas including patient satisfaction, disease-management, care coordination, and preventative care. If the high-quality care costs less to provide, the ACO keeps the savings. If the care costs more, the ACO will have to pay the difference. Studies have shown this model to be effective in fostering innovations in care and better patient outcomes, while generating hundreds of millions of dollars in savings.