agilon health Reports ACO REACH Model Results for 2023 Performance Year
agilon health (NYSE: AGL) announced significant achievements in its ACO REACH model for 2023. The company's eight Accountable Care Organizations (ACOs) generated $150 million in gross savings (13% gross savings rate), including $37 million in Medicare Trust Fund savings. Operating under full risk for approximately 90,000 Traditional Medicare beneficiaries, the ACOs achieved an impressive 95% average quality score, with four ACOs reaching 100%. Five ACOs earned High Performers Pool status, securing an additional $7 million bonus. Since 2021, agilon's REACH ACOs have accumulated $281 million in gross savings, with $71 million benefiting the Medicare Trust Fund.
Agilon Health (NYSE: AGL) ha annunciato risultati significativi nel modello ACO REACH per il 2023. Le otto Organizzazioni di Assistenza Responsabile (ACO) dell'azienda hanno generato 150 milioni di dollari in risparmi lordi (tasso di risparmi lordi del 13%), inclusi 37 milioni di dollari di risparmi per il Fondo Fiduciario Medicare. Operando a pieno rischio per circa 90.000 beneficiari del Medicare Tradizionale, le ACO hanno raggiunto un'impressionante punteggio medio di qualità del 95%, con quattro ACO che hanno raggiunto il 100%. Cinque ACO hanno ottenuto lo stato di High Performers Pool, assicurando un bonus aggiuntivo di 7 milioni di dollari. Dal 2021, le ACO REACH di Agilon hanno accumulato 281 milioni di dollari in risparmi lordi, di cui 71 milioni a beneficio del Fondo Fiduciario Medicare.
Agilon Health (NYSE: AGL) anunció logros significativos en su modelo ACO REACH para 2023. Las ocho Organizaciones de Atención Responsable (ACO) de la empresa generaron 150 millones de dólares en ahorros brutos (tasa de ahorro bruto del 13%), incluyendo 37 millones de dólares en ahorros para el Fondo Fiduciario de Medicare. Operando bajo un riesgo total para aproximadamente 90,000 beneficiarios de Medicare Tradicional, las ACO alcanzaron un impresionante puntuación promedio de calidad del 95%, con cuatro ACO alcanzando el 100%. Cinco ACO obtuvieron el estado de High Performers Pool, asegurando un bono adicional de 7 millones de dólares. Desde 2021, las ACO REACH de Agilon han acumulado 281 millones de dólares en ahorros brutos, de los cuales 71 millones benefician al Fondo Fiduciario de Medicare.
Agilon Health (NYSE: AGL)이 2023년 ACO REACH 모델에서 중요한 성과를 발표했습니다. 회사의 8개 책임 의료 조직(ACO)은 1억 5천만 달러의 총 절감액(13%의 총 절감률)를 창출했으며, 여기에 3천7백만 달러의 Medicare 신탁 기금 절감이 포함됩니다. 약 9만 명의 전통 Medicare 수혜자를 위해 전폭적인 위험 하에 운영된 ACO는 평균 품질 점수 95%를 달성했으며, 4개의 ACO가 100%에 도달했습니다. 5개의 ACO는 High Performers Pool 지위를 얻어 추가로 700만 달러의 보너스를 확보했습니다. 2021년 이후, Agilon의 REACH ACO는 2억 8천1백만 달러의 총 절감액을 누적했으며, 그중 7천1백만 달러가 Medicare 신탁 기금에 혜택을 주었습니다.
Agilon Health (NYSE: AGL) a annoncé des réalisations significatives dans son modèle ACO REACH pour 2023. Les huit Organisations de Soins Responsables (ACO) de l'entreprise ont généré 150 millions de dollars d'économies brutes (taux d'économies brutes de 13%), dont 37 millions de dollars d'économies pour le Fonds Fiduciaire Medicare. Fonctionnant sous un risque total pour environ 90 000 bénéficiaires de Medicare Traditionnel, les ACO ont obtenu un impressionnant score de qualité moyen de 95%, avec quatre ACO atteignant 100%. Cinq ACO ont obtenu le statut de High Performers Pool, sécurisant un bonus supplémentaire de 7 millions de dollars. Depuis 2021, les ACO REACH d'Agilon ont accumulé 281 millions de dollars d'économies brutes, dont 71 millions bénéficient au Fonds Fiduciaire Medicare.
Agilon Health (NYSE: AGL) hat bedeutende Erfolge in seinem ACO REACH-Modell für 2023 bekannt gegeben. Die acht verantwortlichen Pflegeorganisationen (ACOs) des Unternehmens erzielten 150 Millionen Dollar an Bruttoeinsparungen (13% Bruttoeinsparungsquote), einschließlich 37 Millionen Dollar an Einsparungen für den Medicare Trust Fund. Im vollen Risiko für etwa 90.000 traditionelle Medicare-Begünstigte operierend, erreichten die ACOs eine beeindruckende durchschnittliche Qualitätsbewertung von 95%, wobei vier ACOs 100% erreichten. Fünf ACOs erhielten den Status „High Performers Pool“ und sicherten sich einen zusätzlichen Bonus von 7 Millionen Dollar. Seit 2021 haben Agilons REACH-ACOs 281 Millionen Dollar an Bruttoeinsparungen angesammelt, von denen 71 Millionen dem Medicare Trust Fund zugutekommen.
- Generated $150 million in gross savings (13% savings rate) in 2023
- Achieved 95% average quality score across eight ACOs
- Secured additional $7 million bonus through High Performers Pool status
- Accumulated $281 million in total gross savings since 2021
- None.
Insights
The
The cumulative
The success of agilon's ACO REACH model represents a significant shift in healthcare delivery economics. With 1,500 primary care physicians managing 90,000 Traditional Medicare beneficiaries under full risk, this demonstrates the viability of value-based care at scale. The consistent achievement of quality metrics while generating substantial savings validates the model's effectiveness in balancing cost reduction with care quality.
The reinvestment of savings into practice improvements, particularly in socioeconomically challenged areas, aligns with federal healthcare policy goals of improving access and equity. This successful implementation could influence future healthcare policy decisions and accelerate the industry's transition from fee-for-service to value-based care models.
In 2023, agilon REACH ACOs achieved
Since joining the model in 2021, agilon REACH ACOs achieved
“Through participation in full-risk models, agilon health is helping physician partners across the
For the 2023 performance year, the average quality score for agilon’s eight REACH ACOs was
“Through our long-term partnership with agilon health, we continue to see the impact of our participation in full-risk programs, including ACO REACH,” said Patrick Goggin, MD, vice president, Physicians Group of
In 2023, agilon’s REACH ACOs included 1,500 primary care physicians (PCPs) operating across 12 communities in
About the ACO REACH model
The ACO Realizing Equity, Access and Community Health (REACH) model encourages health care providers — including primary and specialty care doctors, hospitals and others — to come together to form an Accountable Care Organization, or ACO. ACOs break down silos and deliver high-quality, coordinated care to their patients, improve health outcomes and manage costs. For questions about the ACO REACH model, call 1-800-MEDICARE (1-800-633-4227), TTY 877-486-2048. For questions about agilon’s Senior Connect ACOs, call 866-407-1660.
About agilon health
agilon health is the trusted partner empowering physicians to transform health care in our communities. Through our partnerships and purpose-built platform, agilon is accelerating at scale how physician groups and health systems transition to a value-based Total Care Model for their senior patients. agilon provides the technology, people, capital, process and access to a peer network of 2,800+ PCPs that allow physician groups to maintain their independence and focus on the total health of their most vulnerable patients. Together, agilon and its physician partners are creating the health care system we need – one built on the value of care, not the volume of fees. The result: healthier communities and empowered doctors. agilon is the trusted partner in 30+ diverse communities and is here to help more of our nation's leading physician groups and health systems have a sustained, thriving future. For more information about agilon health, visit www.agilonhealth.com and connect with us on LinkedIn, Instagram and YouTube.
The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.
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Source: agilon health, inc.
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