The eBrightHealth Accountable Care Organization (ACO) reduced healthcare spending by about $9.5 million and earned a quality score of 86.7% in performance year 2022, according to recently released performance data by the U.S. Centers for Medicare & Medicaid Services.
ACOs help local physicians, hospitals, and other providers to work together and take responsibility for improving quality, enhancing patient experience, and keeping care affordable. The Medicare Shared Savings Program creates incentives for ACOs to invest in transforming care by allowing them to share in savings they generate after meeting quality and cost goals.
EBrightHealth’s achievements resulted in a shared savings payment of approximately $4.65 million.
This is the third consecutive year the ACO has achieved shared savings and the seventh consecutive year that eBrightHealth ACO has reduced healthcare costs for its attributed beneficiaries. The cumulative amount saved during the ACO’s participation in the program is $54 million.
“eBrightHealth ACO continues to deliver outstanding quality results to our Medicare beneficiaries and save millions of dollars in their care,” said Christine Donohue-Henry, president and CEO of eBrightHealth ACO. “We’re so proud of our participating providers and their care teams who put their patients first every day and focus on high-quality, coordinated care to deliver the right care, at the right place, at the right time.”
eBrightHealth ACO helps clinicians address clinical, behavioral, social and other needs of Medicare beneficiaries while improving their access to primary care, preventing unnecessary emergency department visits and decreasing the amount of time they spend in hospitals, a release stated.
For the 2022 reporting period, eBrightHealth ACO received high marks for controlling blood sugar in patients with diabetes and blood pressure in hypertensive patients and significantly reducing unplanned hospital readmissions.
Since its founding in 2016, eBrightHealth ACO’s more than 1,400 partnering primary and specialty care clinicians and two health systems have been supported by CareVio, ChristianaCare’s care coordination program. CareVio harnesses real-time data and predictive analytics to identify opportunities to help Medicare beneficiaries better manage their health.
EBright members are Bayhealth, Beebe Healthcare, ChristianaCare, TidalHealth, and Nemours. The organization is named after the highest point in Delaware at 448 feet.