Loyola Physician Partners Chosen for CMS Initiative | Loyola Medicine
Tuesday, January 12, 2016

Loyola Physician Partners chosen for CMS initiative to build on success of ACOs

“Next Generation” ACO model sets stronger measures, more opportunities for better care

MAYWOOD, Ill. – Loyola Physician Partners, as a member of Trinity Health and the Trinity Health ACO, has been selected to participate in the Centers for Medicare & Medicaid Services’ (CMS) Next Generation ACO Model (NGACO Model). The model advances the administration’s health care system goals and builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program.

Through this new model, CMS will partner with Loyola Physician Partners through the Trinity Health ACO and with other ACOs to assume higher levels of financial risk and reward. The initiative is expected to result in better health, better care and lower costs and to impact individuals as well as whole communities.

Loyola Physician Partners, solely owned by Loyola University Health System, is a network which includes Loyola University Medical Center, Gottlieb Memorial Hospital, Palos Community Hospital and participating members of their medical staffs.

"This is really an honor for Loyola Physician Partners and all of the NGACO Model participants, because it recognizes our expertise in coordinating care for populations of patients as well as the readiness of our providers to take the lead and innovate care delivery," said Keith Veselik, MD, Medical Director. "We look forward to celebrating the improved health and wellness of the people and communities we serve."

Lori Price, MSA, RN, President, Gottlieb Memorial Hospital, said, “Gottlieb Memorial Hospital looks forward to participating in this exciting collaborative effort because initiatives like this allow us to achieve our mission of providing quality health care to our patients.”

Terrence Moisan, MD, CEO, Palos Community Hospital, added: “On behalf of Chicago Health Colleagues, our clinically integrated network, and the members of our medical staff, Palos Community Hospital is proud to be a part of the Next Generation ACO Model in collaboration with the Loyola Physician Partners. This initiative is focused on improving continuity and coordination of care consistent with our goals of assuring improved patient experience and better outcomes of care.”

The NGACO Model is tied to the Department of Health and Human Services’ goal of tying 30 percent of traditional, or fee-for-service, Medicare payments to alternative payment models, such as ACOs, by the end of 2016, and tying 50 percent of payments to these models by the end of 2018.

Since Medicare Shared Savings Program and Pioneer ACOs began in 2012, and now, the Next Generation ACOs – Medicare ACOs have grown to over 450 nationwide, serving nearly 8.9 million beneficiaries. The results from the past 5 years have demonstrated that as ACOs gain more experience in these programs, their performance improves in providing better quality of care for beneficiaries, while producing savings.

The 21 ACOs participating in the NGACO Model in 2016 have significant experience coordinating care for populations of patients through initiatives, including, but not limited to, the Medicare Shared Savings Program and the Pioneer ACO Model. The NGACO Model organizations represent a variety of provider organizations and geographic regions, and were selected by fulfilling specific eligibility criteria outlined in the Request for Applications found at the Next Generation ACO Model web page. These organizations were selected through an open and competitive process from a large applicant pool that included many qualified organizations.

For more information on the Next Generation ACO Model, please visit the Next Generation ACO Model web page https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/ or the Trinity Health ACO web page at www.trinityhealthaco.org. For more information about Trinity Health, please visit www.trinity-health.org.

About Loyola Medicine and Trinity Health

Loyola Medicine, a member of Trinity Health, is a quaternary care system based in the western suburbs of Chicago that includes Loyola University Medical Center (LUMC), Gottlieb Memorial Hospital, MacNeal Hospital and convenient locations offering primary and specialty care services from 1,877 physicians throughout Cook, Will and DuPage counties. LUMC is a 547-licensed-bed hospital in Maywood that includes the William G. and Mary A. Ryan Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, Illinois's largest burn center, a certified comprehensive stroke center and a children’s hospital. Having delivered compassionate care for over 50 years, Loyola also trains the next generation of caregivers through its teaching affiliation with Loyola University Chicago’s Stritch School of Medicine and Marcella Niehoff School of Nursing. Gottlieb is a 247-licensed-bed community hospital in Melrose Park with 150 physician offices, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park. MacNeal Hospital is a 374-bed teaching hospital in Berwyn with advanced inpatient and outpatient medical, surgical and psychiatric services, advanced diagnostics and treatments. MacNeal has a 12-bed acute rehabilitation unit, a 25-bed inpatient skilled nursing facility, and a 68-bed behavioral health program and community clinics. MacNeal has provided quality, patient-centered care to the near west suburbs since 1919.

Trinity Health is one of the largest multi-institutional Catholic healthcare systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually. Based in Livonia, Mich., and with annual operating revenues of $18.3 billion and assets of $26.2 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity employs about 133,000 colleagues, including 7,800 employed physicians and clinicians. Committed to those who are poor and underserved in its communities, Trinity is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services—ranked by number of visits—in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.