Cleveland Clinic. Cleveland Clinic CEO Toby Cosgrove, MD, told The Wall Street Journal in 2012 he didn’t want to jump into ACOs too soon. Rather, he said the system wanted to wait until some of the learning was done and be “fast followers,” not pioneers. Cleveland Clinic waited until 2015 to join the Medicare Shared Savings Program, after testing the waters in a 2013 collaborative care agreement with Cigna. Cleveland Clinic’s MSSP ACO brings together the system’s hospitals, employed physicians and several independent physicians. Cleveland Clinic chose to create a separate legal entity for its ACO to allow more independent practices to join over time.
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