Trinity Health ACO to receive $13.7M from CMS for Quality and Care Coordination Efforts

September 18, 2020  –  Trinity Health Integrated Care (Livonia, MI), a Medicare Shared Savings Program Enhanced Track Accountable Care Organization (ACO), earned $13.7 million in earned shared savings while maintaining a quality score above 90%.

The achievement marks $44.9 million in earned shared savings for the ACO over the past three performance years. In this time period, Trinity Health Integrated Care also saved the Centers for Medicare and Medicaid Services (CMS) $62.9 million.

The Medicare Shared Savings Program (MSSP) provides the incentive of sharing in savings as a reward for providing high-quality care at a more affordable cost to a CMS-assigned Medicare fee-for-service beneficiary population.

As an MSSP Enhanced Track ACO, Trinity Health Integrated Care participates in a two-sided financial risk arrangement that represents the greatest amount of risk and reward within the Medicare Shared Savings Program. This means, from one year to the next, and depending on performance, Trinity Health Integrated Care — and other MSSP Enhanced ACOs — can either share in savings or be required to share in Medicare losses and repay a portion to Medicare.

Trinity Health Integrated Care includes clinically integrated networks associated with:

  • St. Joseph’s Hospital Health Center (Syracuse, NY)
  • Mercy Health System of Southeastern Pennsylvania (Conshohocken, PA)
  • St. Joseph Health System (Mishawaka, IN)
  • Saint Alphonsus Health System (Boise, ID)
  • St. Mary Medical Center (Langhorne, PA)

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