As we come to the end of the year, we are reflecting on some of the highlights of 2018. 

We started the year by welcoming 103 community health systems to the Caravan Health family. This expanded our proven model of population health management to more than 250 health systems across the country and nearly 500,000 attributed lives. All these health systems follow the Six Imperatives for ACO Success. We published these principles as a resource for our providers engaged in value-based care as well as those just starting to consider health care transformation. The imperatives, the core of our practice transformation model, include the most important clinical and management practices that we have learned along the way.

In May, we published a groundbreaking study proving what we had long suspected – one of keys to predictable ACO results is larger size. We worked with an actuarial team to analyze historical ACO data and learned that larger ACOs can be much more confident that their demonstrated savings or losses reflect actual performance. In fact, ACOs must have at least 100,000 attributed lives to be 99 percent confident that their demonstrated results are accurate. These findings lay the groundwork for our 2019 strategy of consolidating attributed lives into fewer, but larger, ACOs.

There was also big policy news from Washington in 2018. In August, CMS proposed the new “Pathways to Success” rule for Shared Savings Program ACOs. This proposal, which may be published in final form any day now, would require a faster glidepath to risk for most ACOs, among other changes. In August, we responded to the tremendous interest in the proposed rule with an informative webinar with our policy experts. 

Our biggest and best development in 2018 was the outstanding financial and quality results of our ACOs. Our ACOs led the pack in both quality, with an average score of 94 percent, and savings, with $54 million in total savings and more than $15 million in shared savings. These savings are more than twice our 2016 total savings of $26 million. Of Caravan Health’s 23 ACOs, 19 beat the benchmark and seven earned shared savings.

We capped off the year with the third annual Accountable Care Symposium in Phoenix, AZ – our most successful symposium so far. Our clients, partners, and staff came together to hear keynote sessions with special guests like Andy Slavitt, former acting CMS Administrator, and providers engaged in the hard work of practice transformation. We celebrated the successes of our clients and partners with the 2018 Population Health Pioneer Awards at a banquet during the symposium.
 

All of us at Caravan Health are looking forward to more good news in 2019. We wish you a wonderful holiday season and happy new year.


Recent Articles and News

May 07, 2019

CMS Unveils New Primary Care Value-Based Payment Models to Start in 2020

In late April, CMS introduced five new value-based payment model options that aim to transform primary care and shift providers to take risk on the cost of care for their patients.

ACO, News, Policy, CMS

March 28, 2019

Firsthand Experience with Accountable Care in Oregon - Interview with Dr. Divya Sharma

An accountable care organization can transform how care is delivered and prioritize new approaches to population health and primary care. We recently had a conversation with one of our ACO physician leaders, Dr. Divya Sharma, Chief Medical Officer for the Central Oregon Independent Practice Association in Bend, Oregon, about the most important lessons learned from joining an accountable care organization.

ACO

April 08, 2019

Mechanics of Collaborative ACOs Explained: Check Out Our Recent Webinar

In a Caravan Health collaborative ACO, a group of unrelated health systems come together to reach the scale necessary not just to participate, but to thrive in accountable care. In the last year, Caravan Health has taken the natural next step and combined lives to form even larger ACOs, including the largest Shared Savings Program ACO in the country with more than 200,000 attributed lives.