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Franciscan ACO saves Medicare, Medicaid $26.6 million in 2020

Newly released results for the 2020 Medicare Shared Savings Program (MSSP) shows Franciscan Accountable Care Organization (ACO) achieved a 100 % quality score in 2020 and saved the Centers for Medicare & Medicaid Services $26.6 million, earning Franciscan ACO $13.3 million in shared savings.

As a MSSP participant, Franciscan ACO is responsible for the total cost and quality of care for more than 51,000 patients. Franciscan partners with physician groups, hospitals and other advance practice providers to provide highly coordinated, quality care to patients.

Contributing factors to success in 2020 included:

Coordination of Care

– Improved care coordination across the continuum.
– Improved surveillance and management of high-risk patients.
– Identification and closure of social determinants of health gaps.

Quality Performance Highlights

– 100th percentile performance in tobacco usage assessment and cessation.
– 90th percentile performance in fall risk assessments.
– CMS recognition for marked improvement in depression screening, colorectal cancer screening, and hypertension management.

“In a year filled with challenges created by the global pandemic, we are pleased the results of the CMS performance year 2020 ratings reflect the tireless efforts of our dedicated physicians and staff to care for our patients under the most strenuous of circumstances,” said Dr. Al Tomchaney, chief medical officer of Franciscan Health. “Through refined and renewed efforts in our multidisciplinary approach to patient care, our Franciscan team is working more collaboratively and efficiently than ever before with our partners and our patients.”

Franciscan ACO is committed to identifying social determinants of health, reducing barriers to care and engaging patients in care plans that suit their needs; and reducing unnecessary costs in care to create higher patient satisfaction and a more efficient healthcare experience.

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