Financial Results

Value-based contracts that settled in 2020, reflecting performance in 2019, earned over $15 million in shared savings and pay-for-performance incentives. Expenditures came in under benchmarks for eight contracts, generating savings of more than $23 million and bending the cost curve, a key element of health care’s Triple Aim.

Portion of total savings retained by the ACO and shared with its participants:

Value-based contract pay-for-performance incentives earned by the ACO:

Value-based contract pay-for-performance incentives earned by practices:

 

$

00

Total revenue generated by value-based contracts:

 

 

$

00

$

00

$

00

Savings generated by value-based contracts:

$

00

Al Swallow
CFO, MaineHealth
Treasurer, MaineHealth ACO Board of Directors
Commentary from Al Swallow:

The mission of any accountable care organization is to slow the growth of health care cost while continually improving care quality.

2020 financial data indicate that the MaineHealth ACO has excelled in this mission, successfully negotiating value-based agreements that rewarded the high-value care its participants consistently delivered to patients. Certainly, Medicare is doubling down on value-based payment going forward. Private payers have followed Medicare’s lead and have amplified the shift from fee-for-service to value-based reimbursement and pay-for-performance models. Their enthusiasm is unlikely to wane, even with short-term data volatility due to the pandemic. We will see more contracts of this nature in the years ahead. The ACO’s continued attention to value and performance is not only warranted, but necessary to ensure affordable and sustainable care for the community we serve.

2020 Annual Report

$

00

$

00

$

00

 

 

Al Swallow
CFO, MaineHealth
Treasurer, MaineHealth ACO Board of Directors

Commentary from Al Swallow:

The mission of any accountable care organization is to slow the growth of health care cost while continually improving care quality.

2020 financial data indicate that the MaineHealth ACO has excelled in this mission, successfully negotiating value-based agreements that rewarded the high-value care its participants consistently delivered to patients. Certainly, Medicare is doubling down on value-based payment going forward. Private payers have followed Medicare’s lead and have amplified the shift from fee-for-service to value-based reimbursement and pay-for-performance models. Their enthusiasm is unlikely to wane, even with short-term data volatility due to the pandemic. We will see more contracts of this nature in the years ahead. The ACO’s continued attention to value and performance is not only warranted, but necessary to ensure affordable and sustainable care for the community we serve.

$

00

$

00