MaineHealth Accountable Care Organization was
started in July 2012.
In its first year, this organization spent
total on its 48,273
individual beneficiaries (including beneficiaries only in the ACO for a partial year).
By comparison, in its benchmark year, it spent $586,076,506 per beneficiary, a difference of $19,196,823. The ACO successfully reported, having earned its participants $9,598,412.
This is a Track 1 Shared Savings ACO which means it has accepted
only upside with no downside risk in exchange for a smaller maximum shared savings rate.
If the ACO spends less than 2.22%
per-beneficiary compared to the benchmark years, the participants will
be paid 50% of the savings.
ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.
The 48,273 individual
beneficiaries spent a total 40,909
person-years in the ACO. Partial years are frequently due to things such as new medicare
members entering the ACO and death.