Cleveland Clinic ACO takes on downside risk with move to Track 1+ model: 4 things to know

Cleveland Clinic Medicare ACO will shoulder more downside risk after becoming a Track 1+ ACO this year.

Here are four things to know about the change.

1. Under the new Track 1+ model, Cleveland Clinic Medicare ACO qualifies as an Advanced Payment Model under the Medicare Access and CHIP Reauthorization Act. 

2. As a Track 1+ ACO, Cleveland Clinic Medicare ACO will assume limited performance-based downside risk if it doesn't reach a specific savings benchmark. The downside risk is a fixed 30 percent loss-sharing rate.

3. However, by assuming greater risk, Cleveland Clinic Medicare ACO will also be able to share higher savings based on quality performance — up to 50 percent. If the health system meets MACRA's quality reporting requirements, Cleveland Clinic could see greater Medicare reimbursement for physician services beginning in 2019. 

4. Cleveland Clinic Medicare ACO, which manages 105,000 beneficiaries, achieved $42.2 million in savings in 2016, up 24.5 percent from the year prior.

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