Latest news with #MedicareSharedSavingsProgram
Business Wire
13 hours ago
- Business
- Business Wire
Aledade Acquires More Michigan Value-Based Care Operations
BETHESDA, Md.--(BUSINESS WIRE)-- Aledade, the nation's largest network of independent primary care, today announced its acquisition of the Michigan-based value-based care operations of CCA Holding Company, Inc. 'This move further expands value-based care in Michigan, empowering more independent primary care organizations to continue providing high quality care in communities they serve," said Ahmed Haque, chief performance officer at Aledade. This acquisition includes an Accountable Care Organization (ACO) and Physician Organization operating in Southeast Michigan and all related employees, further expanding Aledade's existing expertise and presence across the state. Aledade currently supports more than 1,500 physician partners across more than 180 primary care practices and community health centers statewide, reflecting additional growth including last year's acquisition of Medical Advantage, a Michigan-based provider of practice performance improvement and value-based care enablement solutions. 'We are excited to welcome these physician-led organizations into Aledade,' said Ahmed Haque, chief performance officer at Aledade. 'This move further expands value-based care in Michigan, empowering more independent primary care organizations to continue providing high quality care in communities they serve.' In the 2023 Medicare Shared Savings Program (MSSP) performance year, Aledade ACOs generated a record $801 million in savings, surpassing all other accountable care partners nationwide, and achieved quality scores higher than average non-Aledade MSSP participants. Aledade's physician-led ACOs were among the top performers in MSSP, with 93% achieving savings compared to under 70% among non-Aledade participants. Since 2014, Aledade and its partners have saved more than $2 billion in health care for U.S. taxpayers. 'As part of Aledade, the value-based care operations of CCA Holding Company, Inc. will have the ideal platform to continue successfully serving over 500 independent primary care and specialty offices in Southeast Michigan,' said David Klein, Chair of the CCA Holding Company, Inc. About Aledade Aledade, a public benefit corporation, is the largest network of independent primary care in the country, helping independent practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Through its proven, scalable model, which includes cutting-edge data analytics, user-friendly guided workflows, health care policy expertise, strong payer relationships and integrated care solutions, Aledade empowers physicians to succeed financially by keeping people healthy. Together with more than 2,400 practices, federally-qualified health centers and community health centers in 46 states and the District of Columbia, Aledade shares in the risk and reward across more than 200 value-based contracts representing nearly 3.0 million patient lives under management. To learn more, visit or follow on X (Twitter), Facebook or LinkedIn.
Associated Press
09-04-2025
- Health
- Associated Press
TEXAS FQHCS JOIN MEDICARE SHARED SAVINGS PROGRAM FOR 2025
TACHC proudly announces 27 FQHCs joining its new ACO for the 2025 Medicare Shared Savings Program, serving 8,800 Medicare beneficiaries across Texas. 'We are excited for the opportunity to have more health centers in Texas participate in value-based agreements, especially to address the health outcomes of the growing Medicare population.' — Jana Eubank, CEO, TACHC AUSTIN, TX, UNITED STATES, April 9, 2025 / / -- The Texas Association of Community Health Centers (TACHC) is proud to announce the participation of 27 federally qualified health centers (FQHCs) in the Medicare Shared Savings Program (MSSP) for the 2025 performance year. The health centers have joined TACHC Accountable Care Organization (ACO), a new participant in the MSSP, serving 8,800 Medicare beneficiaries across Texas. TACHC ACO is part of My Texas My Health, the health center-led clinically integrated network in Texas established in 2023. Participation in the MSSP affords the opportunity to expand infrastructure support to advance value-based care in community health centers. The ACO is eligible for Advanced Investment Payment (AIP) through the MSSP. The AIP funds will help build the infrastructure needed to be successful in the Shared Savings Program. 'We are excited for the opportunity to have more health centers in Texas participate in value-based agreements, especially to address the health outcomes of the growing Medicare population,' said Jana Eubank, CEO, TACHC. 'Having our own ACO supports reinvestment in health centers and in our efforts together as a network.' Increased health center participation in MSSP contributes to the Centers for Medicare & Medicaid Service national goal of having 100% of Traditional Medicare beneficiaries in value-based care arrangements by 2030. As a new MSSP participant, TACHC ACO is prioritizing: • Quality Improvement: Implementing innovative strategies to enhance preventive services and chronic disease management • Care Coordination: Ensuring access to services and assistance to beneficiaries navigating through their health care needs • Cost Savings: Aiming to reduce avoidable healthcare spending while improving outcomes and advancing health center sustainability Improved outcomes can be achieved through collaboration among health centers, specialists, hospitals, and other providers to ensure comprehensive and coordinated care for attributed Medicare beneficiaries. TACHC ACO participating health centers are dedicated to delivering patient-centered care that improves health outcomes and reduces costs. About TACHC: The Texas Association of Community Health Centers (TACHC) is a private, not-for-profit membership association committed to advancing equitable access to quality health care in Texas by supporting and advocating for community health centers, also known as federally qualified health centers (FQHCs), or health centers. TACHC is the federally designated primary care association for Texas. TACHC assists members in providing high-quality, comprehensive primary care and addressing the full spectrum of health center needs so they can focus on patient care. TACHC's members include federally qualified health centers and other providers who strive to meet the uninsured and underserved health care needs. Members operate in Texas's urban, rural, and frontier areas, all with the mission of advancing access to health care for all Texans. About My Texas My Health Founded with the support of the Episcopal Health Foundation, My Texas My Health, is a clinically integrated network comprised of and led by federally qualified health centers committed to increasing quality of care and providing value-driven services that benefit patients, providers, payers and other stakeholders in the Texas community. TACHC ACO was established by My Texas My Health for health centers to participate in MSSP. Franchella Jennett serves as the Executive Director. +1 512-358-2022
Yahoo
06-03-2025
- Business
- Yahoo
CVS sells Medicare Shared Savings business to Wellvana
This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. CVS Health has sold its Medicare Shared Savings Program business to value-based care services firm Wellvana in an all-stock deal, the healthcare giant said Tuesday. With the purchase, Wellvana will become 'one of the largest' value-based care support companies, working with providers in 40 states and serving about 1 million Medicare beneficiaries, according to a press release. The deal also gives CVS a strategic minority stake in Wellvana. Detailed terms of the transaction weren't disclosed. Shared Savings, or MSSP, is Medicare's largest value-based care program. Under MSSP, providers band together in accountable care organizations and take on financial risk for patient care, with the goal of offering coordinated services that reduce unnecessary spending or medical errors. In 2023, the program saved the government a record-breaking $2.1 billion, according to the CMS. Providers sometimes join ACOs managed by value-based care enablement companies, which can help them transition to the payment arrangement, pull together more data and manage risk-based contracts. CVS' enablement services include customers using two CMS value-based care programs, MSSP and the ACO Realizing Equity, Access and Community Health (REACH) Model, which included more than 1 million patients at the end of 2024, according to a securities filing. Despite the MSSP divestiture, the healthcare giant will continue to focus on value-based care through its healthcare delivery units, like its senior primary care clinic chain Oak Street Health, and through ACO contracts with its insurer Aetna, CVS said in a press release. The deal comes after CVS saw its profits cut nearly in half last year as its Aetna insurer struggled with heightened medical costs. The company's health services segment, which includes its value-based care offerings, reported revenue down about 7% from the previous year, while its adjusted operating income fell 0.9%. Recommended Reading Insurers closed out 2024 on shaky footing
