KentuckyOne ACO sees $18M in Medicare Shared Savings in 2016: 4 things to know

Morgan Haefner -

KentuckyOne Health Partners — the ACO of Louisville-based KentuckyOne Health, a division of Englewood, Colo.-based Catholic Health Initiatives — recorded Medicare Shared Savings of more than $18 million last year, reflecting a gain share of $8 million.

In its 2016 Annual Value Report, KentuckyOne Health Partners reported it saved more than $27 million during its first three years.

Here are four findings from the report.

1. The ACO managed 100,000 lives in 2016, up from roughly 50,000 in its first year. 

2. In 2016, KentuckyOne Health Partners had 2,000 providers across Kentucky, Indiana and Ohio.

3. One hundred provider organizations and 50 post-acute organizations participated in the ACO in 2016. 

4. According to the report, "Given this success, [KentuckyOne Health Partners'] board is looking toward the Next Generation Medicare ACO Model Program and becoming the only Kentucky-based Advanced Alternative Payment Model developed by the recent [Medicare Access and CHIP Reauthorization Act] legislation."

Under MACRA, APMs that require providers to bear more than nominal risk — like Next Generation ACOs — will qualify as "advanced." Clinicians participating in advanced APMs can earn a lump sum bonus of up to 5 percent on Medicare payments.     

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