Source: CMS - Performance Year 1 quality performance results for ACOs with 2012 and 2013 agreement start dates

1. MSSP ACO Performance Period 1
Final Summary
September 29, 2014

2. Shared Savings Performance Years
ACO Start Date
Performance Year 1
Reporting Period 1
Performance Year 1
Reporting Period 2
Performance Year 2
Reporting Period 3
Performance Year 3
Reporting Period 4
Shared Savings
ProgramACOs
(April 2012 start)
April 1, 2012 to
December 31, 2013
January 1, 2012 to
December 31, 2012
April 1, 2012 to
December 31,2013
January 1, 2013 to
December 31,2013
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Shared Savings
ProgramACOs
(July 2012 start)
July 1, 2012 to
December 31, 2013
January 1, 2012 to
December 31,2012
July 1, 2012 to
December 31, 2013
January 1, 2013 to
December 31, 2013
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Shared Savings
ProgramACOs
(January 2013 start)
NA
January 1, 2013 to
December 31, 2013
Same
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Pay for Reporting /
Pay for
Performance
Pay for Reporting Pay for Reporting
Pay for Performance
Phase-in
Pay for Performance
phase-in

3. Winners and Losers
Generated
Savings
Count of
ACOs
And the implications are….
$0 150
Received no shared savings payment. May
still be responsible for Advance Payment
repayment.
Losses 1
Responsible for loss repayment and
Advance Payment repayment.
Savings 53 / 49
All received shared savings payment except
4 which did not meet the quality reporting
requirements.
TBD 16 To be determined…
Total 220

4. Winners by State
ACOs by
State
ACOs Earning
Savings
Shared Savings
Payments*
TX 7 $62.87
FL 11 $50.83
NY 3 $28.06
MI 2 $20.66
CA 4 $17.30
NJ 2 $15.64
VA, TN 2 $13.61
MA, NH 2 $11.91
NC 1 $10.54
GA 1 $9.74
WI 1 $8.67
MA 2 $7.46
ACOs by State
ACOs Earning
Savings
Shared Savings
Payments*
MA 2 $7.46
OH 1 $5.78
NJ, NY 1 $5.27
IA, PA, CT, MA, CA 1 $5.16
MO, KS 1 $5.01
TN, LA, FL 1 $4.72
IA 1 $4.43
MA, RI 1 $3.56
KY, IL 1 $2.81
KY 1 $2.76
VA 1 $2.33
NV 1 $1.64
Total 49 $300.76 * In millions

5. The Winners by ACO
# ACOs with Savings and Payments
Shared
Savings
Payments*
Percent of
Total
Cumulative
Percent of
Total
1 Memorial Hermann Accountable Care Organization $28.34 9% 9%
2 Palm Beach Accountable Care Organization, LLC $19.34 6% 16%
3 Catholic Medical Partners-Accountable Care IPA, Inc. $13.68 5% 20%
4 Southeast Michigan Accountable Care, Inc. $12.09 4% 24%
5 RGV ACO Health Providers, LLC $11.90 4% 28%
6 ProHEALTH Accountable Care Medical Group, PLLC $10.74 4% 32%
7 Triad Healthcare Network, LLC $10.54 4% 35%
8 WellStar Health Network, LLC $9.74 3% 39%
9 Accountable Care Coalition of Texas, Inc. $9.36 3% 42%
10 Accountable Care Coalition of Southeast Wisconsin, LLC $8.67 3% 45%
Grand Total 49 $300.76 * In millions

6. By Start Date
#ACOs by
Start Date
Shared
Savings
Payments /
Losses*
4/1/2012 27 $64.00
7/1/2012 87 $165.77
1/1/2013 106 $67.03
Total 220 $296.80
* In millions
# ACOs by
Start Date
Shared
Savings
Payments*
4/1/2012 8 $64.00
7/1/2012 22 $169.73
1/1/2013 19 $67.03
Total 49 $300.76
* In millions

7. Track 1 vs Track 2
# ACOs by
Track
Shared
Savings
Payments /
Losses*
Track 1 215 $283.85
Track 2 5 $12.95
Total 220 $296.80
* In millions
# ACOs by
Track
Shared
Savings
Payments*
Track 1 47 $283.85
Track 2 2 $16.91
Total 49 $300.76
* In millions

8. Track 1 vs Track 2
# ACOs by Track Shared Savings Payments
/ Losses*
Track1 215 $283.85
Track2 5 $12.95
Grand Total 220 $296.80
Only 5 Track 2 ACOs Savings
/ Losses
Shared Savings
Payments /
Losses
Dean Clinic and St. Mary's Hospital ACO (WI) ($9.97) ($3.96)
Physicians of Cape Cod ACO (MA) $0.00 $0.00
Accountable Care Coalition of DeKalb. (GA) $0.00 $0.00
Heartland Regional Medical Center (MO/KS) $8.53 $5.01
RGV ACO Health Providers* (TX) $20.24 $11.90
*Participate in Advance Payment Model

9. Advance Payment ACOs
# Advance
Payment ACOs
Shared
Savings
Payments /
Losses*
No 184 $266.13
Yes 36 $30.67
Total 220 $296.80
* In millions
# Advance
Payment ACOs
Shared
Savings
Payments *
No 41 $270.09
Yes 8 $30.67
Total 49 $300.76
* In millions

10. Advance Payment ACOs
# Advance Payment ACOs Shared Savings Payments
/ Losses
No 184 $266.13
Yes 36 $30.67
Grand Total 220 $296.80
11 Advance Payment ACOs with Savings or TBD Savings / Losses
RGV ACO Health Providers-TX $20.24
Physicians ACO-TX $12.01
Coastal Medical-MA, RI $7.27
National ACO-CA $6.19
Rio Grande Valley Health Alliance-TX $6.01
Jackson Purchase Medical Associates, PSC-KY, IL $5.74
Reliance Health Network-FL $4.96
Bay Area Florida Physicians Trust-FL $4.56
Integrated ACO LLC-TX $3.57
Medical Mall Services of Mississippi-MS, AL TBD
North Country ACO-NH, VT TBD

11. Advance Payment ACOs with No Savings
25 Advance Payment ACOs with No Savings
NOMS ACO-OH Texoma ACO-TX
Primary Partners-FL Fort Smith Physicians Alliance ACO-AR, OK
Coastal Carolina Quality Care-NC ACO Health Partners-FL
Golden Life Healthcare-CA American Health Alliance-FL
MPS ACO Physicians-CT Nature Coasts ACO-FL
PriMed-CT Physicians Collaborative Trust ACO-FL
Accountable Care Partners-FL Primary Partners ACIP-FL
Quality Independent Physicians-KY, IN Owensboro ACO-KY, IN
Harbor Medical Associates-MA KCMPA-ACO-MO, KS
Maryland ACO Eastern Shore-MD SERPA ACO-NE
Maryland ACO Western MD-MD, PA, WV American Hlth Network of Ohio Care Org, OH
Cumberland Ctr for Healthcare Innovation-TN Lower Shore ACO-VA, MD, DE
St. Thomas Medical Group-TN

12. Quality Reporting
# ACOs Reporting
Quality
Shared
Savings
Payments /
Losses*
No 11 $0.00
Yes 209 $296.80
Total 220 $296.80
* In millions
# ACOs Reporting
Quality
Shared
Savings
Payments*
No 0 $0.00
Yes 49 $300.76
Grand Total 49 $300.76
* In millions

13. Quality Reporting
# ACOs Reporting Quality
Shared Savings Payments
/ Losses
No 11 $0.00
Yes 209 $296.80
Grand Total 220 $296.80
11 ACOs Not Meeting Quality Reporting Requirement Savings / Losses
Nevada Primary Care Network, ACO-NV $21.69
Physicians ACO-TX $12.01
Independent San Diego ACO-CA $7.96
Morehouse Choice ACO and Education System-GA $1.92
Florida Physicians Trust-FL $0.00
Accountable Healthcare Alliance-MI $0.00
Meridian Holdings-NC, GA, FL, SC, DC, CA, MD, TX $0.00
Accountable Care Organization of Puerto Rico-PR $0.00
NOMS ACO-OH $0.00
Allcare Options-FL TBD
Medical Mall Services of Mississippi-MS, AL TBD