WASHINGTON, Aug. 30, 2021 /PRNewswire/ -- Evolent
Health, Inc. (NYSE: EVH), a health care company that delivers
proven clinical and administrative solutions to payers and
providers, announced today that its Evolent Care Partners (ECP)
business unit saved Medicare more than $21
million in 2020, its inaugural year as the owner of an
accountable care organization (ACO). ECP and the independent
physician participants in its ACO network will receive $15.8 million in shared savings for exceeding
quality and cost targets in 2020, according to recently released
performance data from the Medicare Shared Savings Program (MSSP).
The total cost of care for beneficiaries in ECP's ACO, The
Accountable Care Organization, Ltd., was 3.8% below benchmark,
putting it in the top 10% of performance of at-scale first year
ACOs in the history of the program. In addition, the ACO achieved a
quality score of 94.4% on performance measures ranging from
preventive health checks to the use of computerized health records
and preventing avoidable hospitalizations. The ACO achieved these
results during its inaugural year despite the disruption caused by
the COVID-19 pandemic, a testament to the power of the partnership
between ECP and its physician partners, and the dedication of these
physicians to the care of their patients.
CMS data also showed that ECP's ACO drove a 30% drop in
ambulatory-care sensitive admissions over traditional Medicare.
This translates to 500 fewer hospitalizations among ECP's Medicare
population in 2020 than otherwise would have been
expected—particularly important given the capacity issues many
hospitals are facing during the ongoing pandemic.
"These impressive results reaffirm what physicians can
accomplish when they have the right tools, technologies and
resources to truly manage their patients' health, inside and
outside of the clinic," said Evolent Care Partners CEO Asit Gosar. "I'm gratified that we can help
providers be rewarded for delivering better care, not more
care."
Evolent Care Partners is Evolent Health's total-cost-of-care
management business, focused on improving health outcomes and
reducing avoidable hospital admissions and readmissions through the
partnership and empowerment of the trusted, respected physician
leaders on the ground in each of their markets. While these
independent providers are highly committed to their patients, many
do not have the tools or resources to manage populations in risk
arrangements, and they work largely within a fee-for-service
payment system that does not reward preventive care and other
activities that reduce costs and keep patients healthier. Through
its ACO, ECP fills these gaps, providing industry-leading care
management programs Evolent's proprietary Identifi Panel
InsightSM tool to help practices know which patients to
target for which interventions, and support for those practices in
patient engagement and other critical areas. In addition, ECP
aligns financial incentives to help ensure that independent
physician organizations are rewarded for the value they generate
and can thrive in value-based care. Evolent Care Partners has
significantly expanded its physician network over the past year and
now supports approximately 90,000 lives, $900 million in medical expense under management,
and 1,000 providers across six states, prior to newly announced
physician additions for 2022.
In 2020, the average primary care physician participant in the
ACO network earned more than $25,000
of additional income through their participation in the ACO.
Increased compensation, access to ECP's technology and services,
and improved patient quality outcomes are among the factors
contributing to ECP maintaining a 98% physician retention rate.
"I would certainly recommend Evolent Care Partners to practices
that want to get involved in an ACO," said Michael Margolis, MD, Rochester Medical Group.
"It's a true partnership. Physicians can manage a population of
patients in a far better way. We are routinely notified of things
going on, whether it's a hospitalization or a patient who needs an
intervention, via the Identifi Panel InsightSM tool. I
couldn't be in private practice and go to Medicare and take on
significant performance-based risk. But, by joining ECP, I have the
ability to be fully engaged."
In 2020 nationally, 513 ACOs caring for 10.6 million
beneficiaries participated in MSSP, generating gross savings of
$4.1 billion, according to the
Centers for Medicare & Medicaid Services. After accounting for
shared savings earned by ACOs in 2020, estimated net Medicare
savings were $1.9 billion. Two-sided
risk ACOs again outperformed ACOs in upside-only shared savings
tracks, with 97% of two-sided risk ACOs generating gross savings
and 88% earning shared savings, versus 75% and 55% respectively for
upside-only ACOs.
Contacts
Chelsea Griffin
Investor Relations
919.817.8045
cgriffin@evolenthealth.com
Dan Paladino
Media Relations
571.306.3470
dpaladino@evolenthealth.com
About Evolent Health
Evolent Health (NYSE: EVH) delivers proven clinical and
administrative solutions that improve whole-person health while
making health care simpler and more affordable. Our solutions
encompass total cost of care management, specialty care management,
and administrative simplification. Evolent serves a national base
of leading payers and providers, is the first company to receive
the National Committee for Quality Assurance's Population Health
Program Accreditation and is consistently recognized as a top place
to work in health care nationally. Learn more about how Evolent is
changing the way health care is delivered by
visiting evolenthealth.com.
About Evolent Care Partners
Evolent Care Partners' MSSP ACO empowers independent primary
care physicians with the resources needed to participate and
succeed within two-sided performance-based contracts. By working
with Evolent Care Partners, physicians gain access to population
health tools and proven care coordination resources. These
resources also help ensure they're managing administrative
requirements most efficiently, which enables them to spend more
time on patient care. Currently, Evolent Care Partners' ACO has
more than 1,000 providers in its network who care for over 90,000
lives across California,
Indiana, Michigan, North
Carolina, Texas and
Utah. Evolent Care Partners
operates The Accountable Care Organization, Ltd. (TACO) and is a
solution for total cost of care management offered by Evolent
Health. TACO is governed by a representative Board of its
participating providers.
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SOURCE Evolent Health