Trinity Health Integrated Care to receive $13.7M from CMS for Quality and Care Coordination Efforts

Livonia, Mich., September 16, 2020 – Trinity Health Integrated Care, a Medicare Shared Savings Program Enhanced Track Accountable Care Organization (ACO), earned $13.7 million in earned shared savings while maintaining a quality score above 90%.

The achievement marks $44.9 million in earned shared savings for the ACO over the past three performance years. In this time period, Trinity Health Integrated Care also saved the Centers for Medicare and Medicaid Services (CMS) $62.9 million.

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.

"We are pleased that we are able to demonstrate clinical and payment transformation through participation in advanced alternative payment models like Trinity Health Integrated Care. These models can improve quality of care of our patients while saving American taxpayers money," said Emily Brower, senior vice president, Clinical Integration and Physician Services for Trinity Health. "Improving the health of our communities and members is a top priority and this is just one way we are making a strong impact.”

Trinity Health Integrated Care includes 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

These networks 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 success shows our commitment to quality and efficiency across our system," 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 to make it easy for our members."

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

Trinity Health is committed to Advanced Alternative Payment Models. We have more than have more than 15,000 physicians and advanced practice professionals committed to 16 Clinically Integrated Networks (CINs) that are accountable for approximately 1.5 million lives across the country through alternative payment models (APMs) across all populations and product lines: Medicaid, Commercial, Medicare Advantage and Medicare ACOs.