IBJNews

Local providers join Medicare ACO program

Back to TopCommentsE-mailPrintBookmark and Share

Indiana University Health, as well as a partnership of Franciscan Alliance and American Health Network, have formed accountable care organizations that won the blessing of the federal Medicare program.

The federal Centers for Medicare & Medicaid Services on Monday announced 89 health-care-provider organizations that, beginning this month, will strive to win bonus payments by reducing health care spending while also meeting federal standards on 33 measures of quality and patient satisfaction.

That so-called Shared Savings program now includes 116 health care provider groups around the country. There are also 38 groups participating in shared savings testing projects.

The program is a key element of the 2010 health reform law, which proponents hope will change the financial incentives for hospitals and doctors—rewarding them for working together to keep patients healthy rather than for performing more services.

Medicare, which serves all Americans 65 and older, is the nation’s largest health insurance program. Its accountable care program is being mimicked by some private health insurers, such as Indianapolis-based WellPoint Inc., as a way to improve quality while also reducing costs.

“Better coordinated care is good for patients and it saves money,” said Kathleen Sebelius, secretary of the U.S. Department of Health & Human Services, which oversees Medicare, in a statement. “We applaud every one of these doctors, hospitals, health centers and others for working together to ensure millions of people with Medicare get better, more patient-centered, coordinated care.”

Each accountable care organization must take responsibility for managing the health of at least 5,000 Medicare patients. In one estimate, the federal government expects the program to save it $940 million over a four-year period—although others say the savings could be a lot less.

Monday’s announcement included three organizations based in Indiana, plus three more that serve patients here.

Indianapolis-based IU Health is the state’s largest hospital system, with 20 hospitals around the state. Its accountable care organization includes 1,837 physicians, which come from its own employed physicians as well as a network of individual physician practices and a community health center.

Franciscan Alliance, which operates 13 hospitals in Indiana and Illinois, has partnered with Indianapolis-based American Health Network—the state’s largest independently owned physician practice. Their ACO will include 245 physicians, although it’s not clear where exactly the organization will operate.

Franciscan's three Indianapolis-area hospitals already were participating in one of Medicare’s test projects of the shared savings concept, known as the Pioneer ACO Model. Franciscan was one of 32 hospital systems nationally—and the only hospital system in Indiana—to be part of that model.

Evansville-based Deaconess Health System also will participate in the Medicare Shared Savings program with 323 physicians.  It will serve Medicare beneficiaries in Illinois, Indiana and Kentucky.

Some Hoosier seniors will be served by Owensboro ACO in Owensboro, Ky., which has 26 physicians; Quality Independent Physicians in Louisville, which has 74 physicians; or Mercy Health Select in Cincinnati, a group of hospitals with 365 employed physicians.

ADVERTISEMENT

Post a comment to this story

COMMENTS POLICY
We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
 
You are legally responsible for what you post and your anonymity is not guaranteed.
 
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
 
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
 
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
 

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by
ADVERTISEMENT

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
 
Subscribe to IBJ
  1. I am a Lyft driver who is a licensed CDL professional driver. ALL Lyft drivers take pride in providing quality service to the Indianapolis and surrounding areas, and we take the safety of our passengers and the public seriously.(passengers are required to put seat belts on when they get in our cars) We do go through background checks, driving records are checked as are the personal cars we drive, (these are OUR private cars we use) Unlike taxi cabs and their drivers Lyft (and yes Uber) provide passengers with a clean car inside and out, a friendly and courteous driver, and who is dressed appropriately and is groomed appropriately. I go so far as to offer mints, candy and/or small bottle of water to the my customers. It's a mutual respect between driver and passenger. With Best Regards

  2. to be the big fish in the little pond of IRL midwest racin' when yer up against Racin' Gardner

  3. In the first sentance "As a resident of one of these new Carmel Apartments the issue the local governments need to discuss are build quality & price." need a way to edit

  4. As a resident of one of these new Carmel Apartments the issue the local governments need to discuss is build quality & price. First none of these places is worth $1100 for a one bedroom. Downtown Carmel or Keystone at the Crossing in Indy. It doesn't matter. All require you to get in your car to get just about anywhere you need to go. I'm in one of the Carmel apartments now where after just 2.5 short years one of the kitchen cabinet doors is crooked and lawn and property maintenance seems to be lacking my old Indianapolis apartment which cost $300 less. This is one of the new star apartments. As they keep building throughout the area "deals" will start popping up creating shoppers. If your property is falling apart after year 3 what will it look like after year 5 or 10??? Why would one stay here if they could move to a new Broad Ripple in 2 to 3 years or another part of the Far Northside?? The complexes aren't going to let the "poor" move in without local permission so that's not that problem, but it the occupancy rate drops suddenly because the "Young" people moved back to Indy then look out.

  5. Why are you so concerned about Ace hardware? I don't understand why anyone goes there! Every time ive gone in the past, they don't have what I need and I end up going to the big box stores. I understand the service aspect and that they try to be helpful but if they are going to survive I think they might need to carry more specialty parts.

ADVERTISEMENT