Composition of ACO

Corporation formed with sole member as Methodist Hospitals of Dallas d/b/a Methodist Health System, a Texas non-profit corporation.

On July 1, 2012, Methodist Patient Centered ACO (MPCACO) was selected to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization (ACO), a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS). Over 600 physicians are partnering in the Methodist Patient Centered ACO. See the ACO Governing Structure.

Through the Shared Savings Program, Methodist Patient Centered ACO is working with CMS to provide Medicare fee-for-service beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.

The Shared Savings Program will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first. The aggregate amount of savings to-date and distribution of savings is as follows:

Aggregate Amount of Shared Savings/Losses

Third Agreement Period

• Performance Year 2019A: $0

Second Agreement Period

• Performance Year 2019: $4,022,284
• Performance Year 2018: $6,470,710
• Performance Year 2017: $6,747,649
• Performance Year 2016: $4,936,071

First Agreement Period

• Performance Year 2015: $8,328,054
• Performance Year 2014: $5,260,901
• Performance Year 2013: $6,231,468

How MPCACO Shared Savings Are Distributed

• Second and Third Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion of distribution to ACO participants: 33.3%

• Second Agreement Period
  • Performance Year 2018
    • Proportion invested in infrastructure: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion of distribution to ACO participants: 33.3%
  • Performance Year 2017
    • Proportion invested in infrastructure: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion of distribution to ACO participants: 33.3%
  • Performance Year 2016
    • Proportion of distribution to ACO participants: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion invested in infrastructure: 33.3%

• First Agreement Period
  • Performance Year 2015
    • Proportion invested in infrastructure: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion of distribution to ACO participants: 33.3%
  • Performance Year 2014
    • Proportion of distribution to ACO participants: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion invested in infrastructure: 33.3%
  • Performance Year 2013
    • Proportion of distribution to ACO participants: 33.3%
    • Proportion invested in redesigned care processes/resources: 33.3%
    • Proportion invested in infrastructure: 33.3%

To ensure that savings are achieved through improving care coordination and providing care that is appropriate, safe, and timely, an ACO must meet quality standards.

• For 2012, CMS established 33 quality measures relating to care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and patient and caregiver experience of care.
• Access ACO 2016 Quality Performance Standards