UCLA Campus    |   UCLA Health    |   School of Medicine Translate:
UCLA Health It Begins With U

CMS Medicare Shared Savings Program

Print
Email

Information for Medicare Fee-for-Service patients about your doctor's participation in the Medicare Shared Savings Plan (MSSP)

ACO Overview

UCLA Health physicians are participating in a new care coordination program called the Medicare Shared Savings Plan (MSSP), designed specifically for Medicare Fee-for-Service patients. If you are a UCLA Health patient who regularly receives care from UCLA Health, your primary care physician is participating in this program. If you are a Medicare Fee-for-Service patient you should have received a letter in the mail notifying you of UCLA Health's participation.

The MSSP that UCLA Health physicians are participating in is sponsored by Medicare. This MSSP program is a type of Accountable Care Organization (ACO). ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated, high quality care to their Medicare Fee-for-Service patients. Coordinated care helps ensure that patients, especially the chronically ill, get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors.

Enhancing the Care You Receive

By participating in the MSSP, your physician has the opportunity to enhance the care you receive by coordinating your care with your other health care providers. The goal of the MSSP is to deliver high quality care and meet your individual needs and preferences. This is done by enabling your doctors to communicate closely with your other health care providers through enhanced sharing of your health care information. ACOs may be rewarded for providing you with better, more coordinated care.

Your Medicare Benefits

If your UCLA Health physician is a part of the MSSP your benefits are not changing with this new program and this is not a Medicare Advantage plan or an HMO. Your health coverage, premiums and insurance arrangements are unaffected. You do not need to do anything or change your doctor. You can continue to see the same clinicians as you normally do. And you are always free to choose any doctor or hospital who accepts Medicare at any time.

Your physician may continue to recommend that you see particular doctors for your specific health needs, but it's always your choice of what doctors you use or hospitals you visit.

UCLA Health's Commitment to High Quality Care

UCLA Health is committed to providing high quality, affordable care to our Medicare Fee-for-Service patients. Through the MSSP we will be able to create an improved health care experience for you by working in a more coordinated way so that your medical needs can be more efficiently and effectively addressed.  By doing so we will be able to maintain and aim to improve the quality of your care.

Please see below for additional information

  • Frequently Asked Questions - There are a number of frequently asked questions and answers that may help you better understand your primary care provider's participation in an Accountable Care Organization.
  • Notification Letter - A copy of the notification letter you received in the mail explaining what it means to be part of an Accountable Care Organization. This letter will be made available at your primary care provider's office.
  • Authorization to Withhold Personal Health Information Form - Please complete this form if you do not wish to allow Medicare to share information about your health care with your doctor's Accountable Care Organization. Sharing Medicare information about your health care, such as visits to the doctor or hospital, medical conditions, and prescriptions is completely up to you. Whether or not you share this information about your health care will not change the care you receive from your primary care physician. Please know that the information that Medicare has about your health care is valuable in helping us provide better coordinated care and to better meet your health care needs. This form will be made available at your primary care provider's office.
  • Consent to Change Data Sharing Preference Form - Please complete this form if you have previously completed the "Authorization to Withhold Personal Health Information Form" and have decided that now you would like to allow Medicare to share information about your health care with your doctor's Accountable Care Organization. This form will be made available at your primary care provider's office.
  • 2013 Governing Committee - UCLA Health has formed an ACO Governing Committee to provide guidance on overall direction for the UCLA Health ACO (The Regents of the University of California).

 

Public Reporting Requirements

ACO Name and Location

UCLA Health ACO (The Regents of the University of California)
1072 Gayley Ave
Los Angeles, CA 90024

ACO Primary Contact

1-877-825-2212

Composition of ACO

N/A

ACO Participants, Governance and Committees

ACO Participants | ACO Governance | ACO Committees and Key Leadership Personnel

Amount of Shared Savings/Losses

  • Performance Year 1: $0
  • Performance Year 2: TBD
  • Performance Year 3: TBD

How Shared Savings Are Distributed

  • N/A for Performance Year 1

Quality Performance Results

2013 Performance Summary Statistics
Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs
Risk Standardized, All Condition Readmissions (ACO-8) 16.55 14.90
ASC Admissions: COPD or Asthma in Older Adults (ACO-9) 0.91 1.17
ASC Admission: Heart Failure (ACO-10) 0.91 1.20
Percent of Primary Care Providers who Qualified for EHR Incentive Payment (ACO-11) 66.67% 66.21%

Listing of participants in UCLA Health ACO (The Regents of the University of California) »