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80%

12%

7% 1%

Aged Non-DualDisabledAged DualESRD

Shared Savings Program Fast Facts – As of July 1, 2019SHARED SAVINGS PROGRAM INFORMATION PROGRAM CHARACTERISTICS

Performance Year ACOs Assigned Beneficiaries

2019*201820172016201520142012 / 2013

518561480433404338220

10.9 million10.5 million9.0 million7.7 million7.3 million4.9 million3.2 million

*2019 contains one 12-month performance year and twosix-month performance years.

PERFORMANCE YEAR (PY) RESULTS

PY 2017Total Earned Shared Savings $799,420,562Average Overall Quality Score 92.40%

PY 2016Total Earned Performance $700,607,912Payments Average Overall Quality Score 94.65%

PY 2015Total Earned Shared Savings $645,543,866Average Overall Quality Score 91.44%

PY 2014Total Earned Performance $341,246,303Payments Average Overall Quality Score 83.08%

PY 2012 / 2013Total Earned Performance $315,908,772PaymentsAverage Overall Quality Score 95.00%

2019 SHARED SAVINGS PROGRAM ACO INFORMATIONACO TRACKS

ACOs Percent

One SidedBASIC Track Levels A&BTrack 1

108258

21%50%

Two SidedBASIC Track Levels C&DTrack 1+ ModelBASIC Track Level ETrack 2ENHANCED Track*

628415

72

1%5%8%1%

14%

(*Track 3 was renamed the ENHANCED track)

HIGH / LOW REVENUE ACOs

High RevenueLow Revenue

267251

ACO COMPOSITION

Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities

176272628

52%48%High revenueLow revenue

34%

52%

12% 2%

Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities

SNF AFFILIATES & SNF 3-DAY RULE WAIVERACOs approved for a SNF 3-Day Rule WaiverTotal number of SNF affiliates

891,232

ACO PARTICIPANT LIST COMPOSITIONParticipant TINsPhysicians and non-PhysiciansHospitalsFederally Qualified Health Centers (FQHCs) Rural Access HospitalsCritical Access Hospitals

18,259435,809

1,4722,3581,324435

ACO COMPOSITION 2019 MEDICARE BENEFICIARY DEMOGRAPHIC DISTRIBUTION

Enrollment Type Beneficiary Person-Years

Aged Non-DualDisabledAged DualESRD

8,601,6301,306,426719,834

79,445

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Shared Savings Program Fast Facts – As of July 1, 2019

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Medicare Shared Savings Program ACO Assigned Beneficiary Population by County


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