OSF Healthcare System is pleased to announce that its hospitals, physicians, advanced care practitioners, home care services and pharmacies in Central Illinois have been selected to participate as a Medicare Pioneer Accountable Care Organization (ACO) by the Centers for Medicare and Medicaid Services (CMS) Innovation Center. OSF will be one of about 30 organizations in the U.S. participating in this new program during the next 3 years based on its demonstrated capabilities to offer high quality, coordinated care.
As one in a diverse group of leading-edge health care organizations from around the country, OSF Healthcare System was chosen specifically by the Innovation Center to test the effectiveness of several models of payment in helping organizations make a rapid transition to higher quality care at a lower cost to Medicare. “These Pioneer ACOs represent our nation’s leaders in health systems innovation, providing highly coordinated care for patients at lower costs,” said Marilyn Tavenner, Acting Administrator of CMS. “OSF Healthcare System has demonstrated significant experience in providing high quality, coordinated care, and we are excited to partner with them,” Tavenner said.
The Pioneer ACO is a group of doctors, hospitals, and health care providers working together with CMS to give our Medicare patients better service, better quality and better care at a lower cost. The goal of the Pioneer ACO is for the Medicare patients’ health care providers to better coordinate the care of their patients in order to better meet unique individual needs and preferences of the patients we serve. This will involve innovative approaches to care management, care coordination and special attention to those with multiple complex medical problems.
Unlike a managed care plan, Medicare beneficiaries will not be locked into a restricted panel of providers. The Pioneer ACO Model is not a health plan or managed care plan. Under the Pioneer ACO Model, beneficiaries seeing doctors participating in an ACO will maintain the ability to see any doctor or healthcare provider, as well as the full benefits associated with traditional Medicare.
“This is a complete win for the Medicare beneficiaries in our communities”, said Tara Canty, Senior VP OSF Healthcare System, “OSF collaborates with CMS and other major health care systems in the country to find innovative approaches to improving how we care for patients. The patients still have all of the choices they have today; services and care improves for them when they go to OSF.”
If Medicare beneficiaries have questions or concerns, they can call the ASK OSF Call Center at (888) 627-5673 – Option 5, or beneficiaries can also call 1-800-MEDICARE (TTY users should call 1-877-486-2048) or visit www.medicare.gov.
OSF Healthcare System, owned and operated by The Sisters of the Third Order of St. Francis, Peoria, Illinois, includes OSF Healthcare System consisting of six acute care facilities in Illinois and one in Michigan, one long-term care facility and two colleges of nursing. It also has a physician organization, OSF Medical Group that includes a multi-specialty group of more than 650 member physicians and advanced practitioners in more than 90 locations throughout Illinois. OSF owns an extensive network of home health services in Illinois and Michigan known as OSF Home Care Services and also owns OSF Saint Francis, Inc., comprised of healthcare-related businesses, and OSF Healthcare Foundation, the philanthropic arm of OSF Healthcare System and OSF Home Care. The OSF Healthcare System Pioneer ACO includes only those facilities, services and programs available in Central Illinois.