Maryland Collaborative Care (Silver Spring, Md.). Maryland Collaborative Care is a Medicare Shared Savings Program ACO managed by White Plains, N.Y.-based Collaborative Health Systems, a subsidiary of Universal American. It has more than 50 participating practices and primarily serves the counties surrounding Baltimore and Washington, D.C. The ACO has seen a good amount of success so far — it advanced into the second track of the program and took on the associated risk. The ACO generated $4.5 million in shared savings in its second performance year. It chose to funnel the vast majority of those savings — 70 percent — back into resources and processes to redesign care. The remaining portion was split between infrastructure investments and providers.
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