Privia Health Reports Results in CMS’ Medicare Shared Savings Program for the 2022 Performance Year

Rhea-AI Summary

Privia ACOs achieved shared savings of $131.7 million through the Medicare Shared Savings Program. Delivered total annual average expenditures 8% lower than the median MSSP ACO and 19% lower than total fee-for-service Medicare. Exceeded primary care physician (PCP) utilization by 15% compared to both the median ACO and total FFS Medicare.

Positive

• Privia ACOs achieved shared savings of $131.7 million through the Medicare Shared Savings Program.
• Delivered total annual average expenditures 8% lower than the median MSSP ACO and 19% lower than total fee-for-service Medicare.
• Exceeded primary care physician (PCP) utilization by 15% compared to both the median ACO and total FFS Medicare.

Negative

• None.

Privia ACOs Delivered Total Annual Average Expenditures 8% Lower than Median MSSP ACO and 19% Lower than Total Fee-For-Service Medicare

$131.7 Million in Shared Savings Delivered across seven participating ACOs

ARLINGTON, Va., Aug. 25, 2023 (GLOBE NEWSWIRE) -- Privia Health Group, Inc. (Nasdaq: PRVA) today announced that its Accountable Care Organizations (“ACOs”) achieved shared savings of $131.7 million through the Medicare Shared Savings Program (“MSSP”). The seven ACOs (collectively, “Privia Quality Network”) included more than 2,100 providers delivering high-value, cost-efficient care to over 163,000 Medicare beneficiaries in 2022.

“This year’s results continue to serve as a reminder of our ACOs’ successful and replicable operating model, which is fueled by the use of our proprietary technology and team-based workflows to improve the health of our communities while aiming to decrease the total cost of care,” said Mark Foulke, Privia Health EVP Transformational Value-Based Care. “We’re so proud of our participating providers and their care teams who put patients first every day and focus on high quality, coordinated care to improve outcomes.”

2022 Privia Quality Network performance highlights:

• Delivered total annual average expenditures 8% lower than the median MSSP ACO and 19% lower than total fee-for-service Medicare;
• Achieved weighted average emergency room utilization 20% lower than the median MSSP ACO and 27% lower than total fee-for-service Medicare;
• Delivered weighted average outpatient facility spend 19% lower than the median MSSP ACO and 34% lower than total fee-for-service Medicare;
• Accomplished weighted average inpatient facility spend 12% lower than the median MSSP ACO and 24% lower than total fee-for-service Medicare; and
• Exceeded primary care physician (PCP) utilization by 15% compared to both the median ACO and total FFS Medicare
  

Keith Fernandez, M.D., Chief Clinical Officer added, “Privia Health's physician-led local and national governance model promotes innovation at the point of care that we believe improves both outcomes and performance, resulting in increased quality and decreased costs of care. Our success is further enhanced by physician-to-physician education, mentoring and collaboration, and the use of technology and analytics tools that take some of the burden off our practice partners.”

Since 2014, PQN has delivered total shared savings across government and commercial programs of more than $890 million, including more than $510 million through participation in the MSSP. The amount of Medicare MSSP healthcare expenses included in Privia Quality Network has grown from $111 million in 2014 to $1.8 billion in 2022.

About Privia Health

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. For more information, visit priviahealth.com.

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Contact

Robert Borchert
SVP, Investor & Corporate Communications
IR@priviahealth.com
817.783.4841