81 of 91 (89.0 percent) Standard and New Entrant DCEs and 7 of 8 High Needs DCEs (87.5 percent) met or exceeded the 30th percentile benchmark on one of the two claims-based measures - Risk-Standardized All-Condition Readmission (ACR) or the All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC). For PY2022, points were awarded if the DCE performed above the 30th percentile nationally on at least one of the two pay-for-performance quality measures. The remaining 20% of a DCE’s quality score was assessed on a pay-for-performance basis. 80 percent of the DCE quality score in PY2022 was assessed on a pay-for-reporting basis all DCEs received the full 80 percent. The average Total Quality Score (TQS) was 99.4 percent across the 91 Standard and New Entrant DCEs, and 99.0 percent across the 8 High Needs Population DCEs. PY2021 Cohort improved their aggregate net savings rate from 1.30 percent in PY2021 to 3.25 percent in PY2022. The PY2021 Cohort drove 67 percent higher net savings in total, on average, despite the PY2022 Cohort managing approximately 50 percent more spend in total. Improved performance by DCEs that started in PY2021 also drove the increase in savings. Net savings to CMS in PY2022 largely stems from the discount for DCEs choosing the Global risk option 93 percent of savings to CMS comes from the discount. The growth in the number of participants and beneficiary-months in the model largely drove the increased total savings. The net savings for both CMS and for DCEs also increased significantly. Gross savings increased more than seven-fold between PY2021 and PY2022. Standard, New Entrant, and High Needs Population DCEs achieved 3.37 percent, 7.78 percent, and 15.31 percent gross savings rates on average, respectively these DCE types achieved 1.84 percent, 5.04 percent, and 12.55 percent net savings rates on average, respectively. 79 percent of DCEs in the Global risk option and 67 percent of DCEs in the Professional risk option earned shared savings. Of the 99 DCEs participating in PY2022, 75 DCEs (76 percent) earned shared savings, while 23 DCEs (23 percent) incurred losses. Net payments recouped by sequestration was approximately $13.6 million. This is an approximately 2.08 percent net savings rate for DCEs on average. Net payments to DCEs for Shared Savings/Losses totaled approximately $484.1 million relative to the PY2022 financial benchmark. Approximately 93% of savings were generated from the benchmark discount and the remaining 7 percent of savings were generated from shared savings arrangements. Net savings generated for Medicare based on the financial benchmark totaled approximately $371.5 million in PY2022 once the benchmark discount and shared savings arrangements were taken into consideration. DCEs in PY2022 generated approximately $870 million in gross savings, representing an approximately 3.7 gross savings rate relative to the retrospective adjusted PY benchmarks. The communication is as follows: “CMS is releasing the Performance Year (PY) 2022 financial and quality performance results for the 99 Direct Contracting Entities (DCEs) that participated in the Global and Professional Direct Contracting (GPDC) Model in calendar year 2022, the second year of the model. Officials have not yet posted the results to the agency’s website, but Healthcare Innovation has obtained the communication of those results from one of the ACO REACH participating organizations. 23 released results from the 2022 performance year for provider organizations participating in what last year as called the Global and Professional Direct Contracting (GPDC) Model, which has now been reintroduced as the ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) model. Officials at the federal Centers for Medicare and Medicaid Services (CMS) on Oct.
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