Accountable Care Coalition of Southeast Texas Generates $33 Million in Shared Savings over Three Years under Next Generation Accountable Care Organization Model

TAMPA, Fla., and HOUSTON (Jan. 13, 2021) – Collaborative Health Systems announced today the Accountable Care Coalition (ACC) of Southeast Texas, Inc. generated $33 million in shared savings for performance years 2017 through 2019, according to figures released by the Centers for Medicare & Medicaid Services (CMS).

In performance year 2019, the ACC of Southeast Texas, which is in its fourth year in the Next Generation Accountable Care Organization (ACO) Model:

• Served more than 17,000 Medicare beneficiaries across southeast Texas;
• Achieved an overall quality score of 95%; and,
• Generated $17.4 million in shared savings – a 169% increase from performance year 2018.

“We are proud to report the ACC of Southeast Texas has generated shared savings for both our providers and the Medicare program for the third year in a row,” said Dr. Raul Rivera, Medical Director, Accountable Care Coalition of Southeast Texas. “We remain committed to providing high-quality care and services to our patients and are grateful the CMS program allows us to demonstrate how we can provide increasing value in our local communities.”

“The ACC of Southeast Texas is demonstrating how physicians can retain their independence by embracing fee-for-value payment models that increase accountability, lower costs, and improve quality of care,” said Anthony Valdés, President of Collaborative Health Systems. “As value-based models continue to evolve, we look forward to collaborating with our physician partners in southeast Texas to improve health outcomes through our continuously growing portfolio of services.”

The Next Generation ACO Model was designed under the CMS Innovation Center to test whether strong financial incentives for ACOs can improve health outcomes and reduce expenditures for Medicare Fee-For-Service (FFS) beneficiaries. Under the Model, groups of doctors and other healthcare providers come together voluntarily to provide coordinated, high-quality care at lower costs to their Medicare FFS beneficiaries. Provider groups in this Model assume higher levels of financial risk and reward than are available under the Medicare Shared Savings Program (MSSP). The Model engages beneficiaries in their care through benefit enhancements designed to improve the patient experience and rewards seeking appropriate care from providers and suppliers participating in ACOs.