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Beth Israel Deaconess Physician Organization Named A Medicare Pioneer Accountable Care Organization

New model designed to offer better care to beneficiaries through partnership with Medicare

BOSTON - The Beth Israel Deaconess Physician Organization (BIDPO) has been selected to participate in the Pioneer Accountable Care Organization (ACO) model, a transformative new initiative sponsored by the Centers for Medicare & Medicaid Services (CMS) Innovation Center.

BIDPO is one of only 32 provider organizations across the country chosen to work with CMS to provide Medicare beneficiaries with higher quality care, while reducing growth in Medicare expenditures through enhanced care coordination.

BIDPO, which has more than 1,600 providers and is the physician organization affiliated with Beth Israel Deaconess Medical Center, was selected based in part on its experience in working with global payment models.

"Partnering with CMS in this important new program sharpens our focus on new ways to deliver the most effective care to patients," said BIDPO President Stuart Rosenberg, MD.

"New models of delivering care to patients are not only a vital part of national health care reform but are also fundamental to BIDMC's vision and strategic plans for our future," said Kevin Tabb MD, BIDMC President and CEO.

"Our patients who are enrolled in Medicare will continue to receive the excellent care from doctors they know and trust and in offices and hospitals where they are comfortable," said Richard Parker, MD, BIDPO's Medical Director. "Our physicians will be making even greater efforts to keep patients healthy and to provide them with the best treatment and hospital care available when they need it."

The Pioneer ACO Model is designed to encourage the development of groups of doctors and other healthcare providers who work together to provide high quality care. As one in a diverse group of leading-edge health care organizations from around the country, BIDPO 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. "BIDPO has demonstrated significant experience in providing high quality, coordinated care, and we are excited to partner with them," Tavenner said.

Under the Pioneer ACO Model, CMS will provide incentives for participating health care providers who form an organization to coordinate care for patients. Providers who band together through this model will be required to meet quality standards based upon, among other measures, patient outcomes and care coordination among the provider team.

CMS will use robust quality measures and other criteria to reward ACOs for providing beneficiaries with a positive patient experience and better health outcomes, while also rewarding BIDPO for reducing growth in Medicare expenditures for the same patient population.

BIDPO LLC is the third largest provider network in Massachusetts, with more than 1,600 physicians including more than 350 primary care doctors in more than 125 primary care practice locations in eastern Massachusetts, from the New Hampshire border to Cape Cod. In addition to BIDMC, a teaching hospital of Harvard Medical School, BIDPO physicians are affiliated with excellent community hospitals that serve their regions, including Beth Israel Deaconess Hospital-Needham, Milton Hospital, Lawrence General Hospital and Anna Jaques Hospital.