Cleveland Clinic ACO saved more than $42 million across 71,113 beneficiaries in 2016 as a participating provider in the Medicare Shared Savings Program. Most of the savings came from reducing big bucket expenditures around inpatient stays, readmissions, and post-discharge care.
Cleveland Clinic’s accountable care organization has seen two years of solid savings under the Medicare Shared Savings Program. This year, the provider generated savings of $42.2 million, of which the clinic will receive nearly $20 million, a 20% increase over 2015, according to the Centers for Medicare & Medicaid Services.
James Gutierrez, MD, president and medical director of the Cleveland Clinic ACO, spoke with HealthLeaders Media about the success of the shared-savings program. The following is a lightly edited transcript.
HLM: How many physicians and patients are involved with Cleveland Clinic’s ACO?
Gutierrez: All of our employed staff physicians in both northeast Ohio and Florida are members of the ACO. We are talking upwards of 1,500-1,700 physicians. It keeps growing. In addition, we have about 300 primary care physicians employed by Cleveland Clinic in northeast Ohio, and probably 50 in Florida, and another 50 independent private practice primary care physicians in northeast Ohio who are members of our clinically integrated network called Quality Alliance.
Patient-wise, in 2017 we have about 85,000 patients. In 2016 we had just a little over 69,000.
John Commins is a senior editor at HealthLeaders.