Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model

Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model

Allina Health System is participating in a Medicare Accountable Care Organization (ACO) model.

An ACO is a group of doctors, hospitals and health providers working together with Medicare to give better service and care to patients.

The goals of an ACO model are:

  • better care for individual patients
  • better health for our communities
  • affordable care for all

This ACO is only for fee-for-service (FFS) Medicare patients and not Medicare Advantage-based beneficiaries. 

 Where can I find more information about ACO REACH?

To learn more about ACO REACH, you can:

  • ACO Name: Allina Health System, d.b.a.,  Allina Health
  • Corporate Address: 2925 Chicago Avenue, Minneapolis, MN 55407
  • Primary Contact: Patrick Flesher at Patrick.Flesher@allina.com
  • Participant Providers can be found here
  • Preferred Providers (doctors, nurse practitioners and physician assistants) can be found here
  • Preferred Providers (skilled nursing facilities) can be found here
  • Allina Health System owns Courage Kenny Rehabilitation Institute and is the majority owner of :
    PHS WestHealth Inc, d.b.a. Interlude Restorative Suites which are both Preferred Providers.
  • Allina Health’s ACO REACH Leadership Team can be found here
  • Allina Health’s ACO REACH Governing Body can be found here
  • Shared Savings and Shared Losses (2023):
    • Allina Health achieved Shared Savings of $6,816,532.22.
    • Allina has invested in infrastructure and other resources to improve outcomes and reduce Medicare costs for beneficiaries, but it has not allocated a specific percentage of shared savings.
    • Shared savings are not distributed to Participant Providers and Preferred Providers nor are they responsible for shared losses.
  • ACO Quality Results (2023):

Measure Name Measure Score Points Earned Points Possible Total Points Initial Quality Score (--100%) CI/SEP Gateway Multiplier HED R Adjustment (Percentage Points) Total Quality Score (0-100%)
Risk-Standardized, All-Condition Readmission (a lower [↓] score indicates better performance) 14.96 9.875 10 36.219 90.547% N/A 9.70 100.000%
Risk-Standardized, all-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (a lower [↓] score indicates better performance) 36.29 7.500 10
Timely Follow-Up After Acute Exacerbations of Chronic Conditions ( a higher [↑] score indicates better performance) 77.63 9.875 10
Consumer Assessment of Healthcare Research and Quality (a higher [↑] score indicates better performance) 0.90 8.969 10

 

  • Shared Savings and Shared Losses (2024):
    • Allina Health achieved Shared Savings of $5,459,144.60
    • Allina has invested in infrastructure and other resources to improve outcomes and reduce Medicate costs for beneficiaries, but it has not allocated a specific percentage of shared savings.
    • Shared savings are not distributed to Participant Providers and Preferred Providers nor are they responsible for shared losses.
  • ACO Quality Results (2024)
Measure Name Measure Score Points Earned Points Possible Total Points Initial Quality Score (--100%) CI/SEP Gateway Multiplier HED R Adjustment (Percentage Points) Total Quality Score (0-100%)  Quality Withhold Earned Back (0.2% of the financial benchmark) HPP Bonus 
Risk-Standardized, All-Condition Readmission (a lower [↓] score indicates better performance) 14.92 10.000 10 29.156 72.891% 1.0 5.00 77.891%  1.558%  No
Risk-Standardized, all-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (a lower [↓] score indicates better performance) 39.18 0.000 10
Timely Follow-Up After Acute Exacerbations of Chronic Conditions ( a higher [↑] score indicates better performance) 84.24 10.000 10
Consumer Assessment of Healthcare Research and Quality (a higher [↑] score indicates better performance) 0.916 9.156 10

Shared Savings and Losses and ACO Quality Results for performance year 2025 are not yet available.