2019 shared savings program fast facts - cms...80% 12% 7% 1% aged non-dual disabled aged dual esrd...
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80%
12%
7% 1%
Aged Non-DualDisabledAged DualESRD
Shared Savings Program Fast Facts – As of July 1, 2019SHARED SAVINGS PROGRAM INFORMATION PROGRAM CHARACTERISTICS
Performance Year ACOs Assigned Beneficiaries
2019*201820172016201520142012 / 2013
518561480433404338220
10.9 million10.5 million9.0 million7.7 million7.3 million4.9 million3.2 million
*2019 contains one 12-month performance year and twosix-month performance years.
PERFORMANCE YEAR (PY) RESULTS
PY 2017Total Earned Shared Savings $799,420,562Average Overall Quality Score 92.40%
PY 2016Total Earned Performance $700,607,912Payments Average Overall Quality Score 94.65%
PY 2015Total Earned Shared Savings $645,543,866Average Overall Quality Score 91.44%
PY 2014Total Earned Performance $341,246,303Payments Average Overall Quality Score 83.08%
PY 2012 / 2013Total Earned Performance $315,908,772PaymentsAverage Overall Quality Score 95.00%
2019 SHARED SAVINGS PROGRAM ACO INFORMATIONACO TRACKS
ACOs Percent
One SidedBASIC Track Levels A&BTrack 1
108258
21%50%
Two SidedBASIC Track Levels C&DTrack 1+ ModelBASIC Track Level ETrack 2ENHANCED Track*
628415
72
1%5%8%1%
14%
(*Track 3 was renamed the ENHANCED track)
HIGH / LOW REVENUE ACOs
High RevenueLow Revenue
267251
ACO COMPOSITION
Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities
176272628
52%48%High revenueLow revenue
34%
52%
12% 2%
Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities
SNF AFFILIATES & SNF 3-DAY RULE WAIVERACOs approved for a SNF 3-Day Rule WaiverTotal number of SNF affiliates
891,232
ACO PARTICIPANT LIST COMPOSITIONParticipant TINsPhysicians and non-PhysiciansHospitalsFederally Qualified Health Centers (FQHCs) Rural Access HospitalsCritical Access Hospitals
18,259435,809
1,4722,3581,324435
ACO COMPOSITION 2019 MEDICARE BENEFICIARY DEMOGRAPHIC DISTRIBUTION
Enrollment Type Beneficiary Person-Years
Aged Non-DualDisabledAged DualESRD
8,601,6301,306,426719,834
79,445
1
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