Page 8 - ACO Report Revised

ACO Networks Are Impressive Attributes of a
Strong Provider Network
ACOs have nearly 468,000 physician and
nonphysician participants according to CMS. On • Strong primary care base.
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average per ACO, this averages approximately:
• Commitment to improve care quality
• 260 primary care physicians. and outcomes.
• Focus on achieving superior patient sat-
• 480 specialists. isfaction levels.

• 300 nonphysician specialists. • Operational excellence to control the
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total cost of care.
Individual participating ACO entities total
16,325, an average of 34 organizations with individ- • Shared savings distribution contingent
upon meeting quality standards.
ual tax identification numbers per ACO.
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Community, rural access and critical access
hospitals are essential to ACO networks. Partici-
pants encompass:

• 1,349 out of 5,141 community hospitals.

• 1,397 out of 4,500 rural health centers.

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• 405 out of 1,353 critical access hospitals.
Skilled nursing facili-
ties (SNFs) in the ACO ecosys-
tem total 1,775 according the
CMS. Out of 477 ACOs, 118
have a SNF 3-day rule waiver.
Medicare requires a three-day
hospital length of stay before
a patient qualifies for transfer
to a SNF.
Federally Qualified
Health Centers (FQHCs) must
care for patients regardless of
ability to pay. They are often
located in low-income and/or
areas with poor access to primary care services. There are about 1,368 FQHCs in the U.S.
with about 12,400 sites of care. 19 CMS reports 1,349 FQHCs are in ACO networks.

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