Trinity Health Integrated Care to receive $18.7M from CMS for Quality and Care Coordination Efforts, Ranks Sixth in the Nation

Livonia, Mich., October 3, 2019 – Trinity Health Integrated Care, a Medicare Shared Savings Program Track 3 Accountable Care Organization (ACO), demonstrated significant quality and cost improvements in its second performance year in the Medicare Shared Savings program (MSSP). Specifically, Trinity Health Integrated Care ranked sixth in the nation, having achieved $18.7 million in earned shared savings. The achievement marks a more than 50 percent increase over the $12.4 million Trinity Health Integrated Care achieved last year.

MSSP provides the incentive of sharing in savings as a reward for providing high-quality care at a more affordable cost to a CMS-assigned Medicare fee-for-service beneficiary population.

"Improving the health of our Medicare beneficiaries while lowering the cost of providing care is a high priority for Trinity Health," said Emily Brower, senior vice president, Clinical Integration and Physician Services for Trinity Health. "We are delighted that our MSSP Track 3 ACO was able to effectively demonstrate how advanced accountable care models can accelerate progress toward better, more cost-effective care for patients, families and communities."

Trinity Health Integrated Care has five chapters including clinically integrated networks associated with:

• St. Joseph's Hospital Health Center, Syracuse, New York
• Mercy Health System of Southeastern Pennsylvania, Conshohocken, Pennsylvania
• St. Joseph Health System, Mishawaka, Indiana
• Saint Alphonsus Health System, Boise, Idaho
• St. Mary Medical Center, Langhorne, Pennsylvania

All of these chapters came together voluntarily to create the ACO and to accept accountability for the quality, cost, and experience of care of the assigned beneficiary group. ACOs are expected to provide Medicare beneficiaries with high-quality coordinated care that includes getting them the right care when they need it, avoiding unnecessary service duplication and preventing medical errors.

"This year's achievement really speaks to our teams' shared commitment to continuous improvement and to delivering care that is people-centered," said Daniel J. Roth, M.D., executive vice president and chief clinical officer for Trinity Health. "We are very proud of Trinity Health Integrated Care's work coordinating care across multiple providers and increasing quality and efficiency."

As a Track 3 ACO, Trinity Health Integrated Care participates in a two-sided financial risk arrangement that represents the greatest amount of risk among the three Medicare Shared Savings Program tracks. This means, from one year to the next, and depending on performance, Trinity Health Integrated Care — and other Track 3 ACOs — can either share in savings or be required to share in Medicare losses and repay a portion to Medicare.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Our people-centered health system puts the people we serve at the center of every behavior, action and decision. This brings to life our commitment to be a compassionate, transforming and healing presence in our communities. We have 35 teaching hospitals with graduate medical education (GME) programs providing training for more than 2,000 residents and fellows in 184 specialty and subspecialty programs. and have more than 15,000 physicians and advanced practice professionals committed to 16 Clinically Integrated Networks (CINs) that are accountable for approximately 1.6 million lives across the country through alternative payment models (APMs) across all populations and product lines: Medicaid, Commercial, Medicare Advantage and Medicare ACOs. Trinity Health participates in the Medicare Shared Savings Program (MSSP)—Tracks 1 and 3, and the new Pathways to Success Enhanced—the Next Generation ACO, Comprehensive Primary Care Plus (CPC+), and the Bundle Payment for Care Improvement Advanced (BPCIA) programs.

About Trinity Health

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 92 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2 million visits annually. Based in Livonia, Mich., and with annual operating revenues of $19.3 billion and assets of $27 billion, the organization returns $1.2 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 129,000 colleagues, including about 7,500 employed physicians and clinicians. For more information, visit www.trinity-health.org. You can also follow us on Facebook or Twitter.