1. 2014 NC ACO Penetration (not including 2015 MSSP ACOs)

2. 2015 NC MSSP ACOS
North Carolina has 18 Medicare Shared Savings Program ACOs
Accountable Care Coalition of Caldwell County, LLC (2012)
Accountable Care Coalition of Eastern NC (2012)
Cape Fear Valley Health System (2015)
Carolinas ACO, LLC (2014)
CaroMont Health (2014)
CHESS (Catawba Valley Medical Group, Inc., Cornerstone Health Care, P.A., High Point Regional Health System, Regional Physicians LLC, and Wake Forest University Health Sciences) (2015)
Coastal Carolina Quality Care, Inc. (2012)
Duke Connected Care (2014)
Carolina Medical Home Network Accountable Care Organization, LLC (FQHCs) (2015)
Mission Health Partners (2015)
Physicians Healthcare Collaborative (Wilmington Health) (2013)
Pinehurst Accountable Care Network (2015)
Triad Health Network, LLC (2012)
WakeMed Key Community Care (2014)
Coastal Plains Network, LLC (Vidant) (2015)
Bayview Physician Group (2014)
Central Virginia Accountable Care Collaborative, LLC (2014)
Pioneer Health Alliance (2015)

3. 2015 NC ACOs with Commercial Contracts
At least 10 ACOs have contracts with commercial payers (about 5 overlap with MSSP*)
Accountable Care Alliance (Wilmington Health and NHRMC)-- BCBSNC*
Boice Willis Clinic (Rocky Mount)--Cigna
Cape Fear Valley Health System--BCBSNC*
Carolina Advanced Health--BCBSNC
Carolinas Health System--Aetna
Cornerstone Health Care, PA--all commercial payers*
Duke Connect Care--Cigna
Key Physicians--Cigna*
WakeMed Key Community Care--BCBSNC*
Novant Health--Cigna

4. CMS Funding Opportunities Fall 2014
Transforming Clinical Practice Initiative (TCPI)— innovative model to support clinicians in achieving large-scale health care transformation; $840 million over 4 yrs/150,000 clinicians
Provider Transformation Networks (PTN)—peer-based learning; 3 NC applicants: AHEC, CCNC, CHESS
Support and Alignment Networks (SAN)—workforce development; 1 NC applicant: NCMS Foundation

5. CMS Funding Opportunities Fall 2014
ACO Investment Model (AIM)—upfront funding for MSSP ACOs serving rural and underserved populations
NCMS Foundation Rural ACO Initiative
Community Practitioner Program Participants
Others
RFP for services sent to select vendors

6. Recent Announcements Secretary Burwell announced that HHS would move:
30% of its total spending in Medicare to value-based payments by 2016; and
50% by 2018 through models like ACOs and bundled payments.
The Health Care Transformation Task Force, a coalition of health care systems, payers and associations announced the formation of, a collaboration intended to bring to bear private-sector experience and influence in moving the market toward value-based care. move
Move 75% of their revenue into value-based payments by 2020.
Anthem, the third largest insurer in the US by membership, revealed that it had nearly $40 billion in value-based contracts and agreements with nearly 120 ACOs around the country. Anthem’s announcement is similar to earlier declarations from other insurers including United and Cigna. (Leavitt Partners)

7. Resources
Toward Accountable Care Consortium and Initiative (TAC):
National Association of ACOs (NAACOS):
CMS:
Transforming Clinical Practice Initiative: Practices/
 ACO Investment Model: Model/