Fact Based List:
Ten Next Generation ACO Fast Facts
Submitted by Anonymous on Fri, 09/07/2018 - 14:55
- There were 18 active NGACOs in 2016, with 15 having prior Medicare ACO experience
- These 18 NGACOs served 477,197 beneficiaries, with 31,070 network providers and 775 network facilities
- In aggregate, NGACOs served three percent of total Medicare beneficiaries in all markets
- On average, a 2016 NGACO served about 26,500 aligned beneficiaries (median of 24,219 beneficiaries)
- NGACOs are associated with a 1.7% reduction in Medicare spending for aligned beneficiaries totaling $100.08 million (1.1% reduction after shared savings payment went to NGACOs)
- The estimated gross reduction in Medicare spending with $18.20 per beneficiary per month ($11.20 reduction after $7.00 in shared savings went to NGACOs)
- NGACOs experienced 1.7/1,000 fewer IP Hospital Days (1.3% reduction) and 20.4/1,000 more wellness visits per year (11.9% increase)
- Nine NGACOs are in highly concentrated markets, dominated by one or a few hospital systems
- Twenty-four percent of the 2016 NGACO participating providers’ Medicare FFS revenue from paid QEM visits was generated from care provided to NGACO-aligned beneficiaries.
- Seventy-one percent of aligned beneficiaries’ paid QEM visits were within their respective NGACO provider networks, compared with forty percent of the comparison group’s
Source: Next Generation Accountable Care Organization (NGACO) Model Evaluation First Annual Report
Source URL: https://innovation.cms.gov/Files/reports/nextgenaco-firstann...
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