agilon health Reports ACO REACH Model Results for 2023 Performance Year
13 November 2024 - 12:30AM
Business Wire
In 2023, agilon REACH ACOs achieved $150
million in gross savings and 95% quality score
Since joining the model in 2021, agilon
REACH ACOs achieved $281 million in gross savings, including $71
million in savings to Medicare Trust Fund
agilon health, inc. (NYSE: AGL), the trusted partner empowering
physicians to transform health care in our communities, announced
that its Accountable Care Organizations (ACOs) achieved $150
million in gross savings (13% gross savings rate), including $37
million savings to the Medicare Trust Fund, during the 2023
performance year of the ACO Realizing Equity, Access and Community
Health (ACO REACH) model. agilon’s eight REACH ACOs operate under
full risk, and in 2023 were responsible for the total cost and
quality of care for approximately 90,000 Traditional Medicare
beneficiaries.
“Through participation in full-risk models, agilon health is
helping physician partners across the U.S. make the shift from
volume to value, which is enabling better care for seniors, lower
costs and improved health equity,” said Steve Sell, chief executive
officer, agilon health. “As the only full-risk program available in
Traditional Medicare, we support the ACO REACH model and its role
in sustaining local primary care by enabling primary care
physicians to provide high-quality, cost-effective, holistic care
for their senior patients.”
For the 2023 performance year, the average quality score for
agilon’s eight REACH ACOs was 95%. In fact, four of these REACH
ACOs attained a 100% quality score. In addition, five attained High
Performers Pool status, achieving superior quality results across
all four quality measures and yielding an additional $7 million
bonus (not captured in the $150 million gross savings mentioned
above).
“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 Southeastern Ohio (PGSEO), and ACO
medical director. “Thanks to the shared savings generated from
these programs, we’ve been able to reinvest in our practice, which
has significantly improved the care experience for our senior
patients, many of whom live in socioeconomically challenged areas.
In fact, we’ve achieved more than $36 million in gross savings the
past two years combined.”
In 2023, agilon’s REACH ACOs included 1,500 primary care
physicians (PCPs) operating across 12 communities in Hawaii, New
York, North Carolina, Ohio, Pennsylvania and Texas. Since joining
the ACO REACH model in 2021, agilon’s REACH ACOs have achieved $281
million in gross savings, including $71 million in savings to the
Medicare Trust Fund.
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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Investor Contact Leland Thomas Investor Relations
investors@agilonhealth.com
Media Contact Maureen Merkle Communications & Public
Affairs media@agilonhealth.com
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