About Good Help

Background

In 2010, the Affordable Care Act was passed. In conjunction with this law, the Centers for Medicare and Medicaid Services (CMS) began offering a CMS Medicare Shared Savings Program (MSSP). The MSSP is designed to facilitate cooperation among health care providers and to provide coordination of care for Medicare Fee-for-Service beneficiaries. It also encourages investment by the members in their own infrastructure and redesigned care processes. This coordinated care will ultimately ensure that Medicare Fee-for-Service beneficiaries, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.

Bon Secours’ Response

Bon Secours Health System submitted an application to CMS to participate in this voluntary new care coordination program. It will offer high quality service and care to Medicare Fee-for-Service beneficiaries through its partnership with Medicare. Effective January 10, 2013, Good Help ACO was selected as one of 106 new ACOs.

Included in the Good Help ACO group, along with five Bon Secours local healthcare systems across the United States, is St. Claire Regional Medical Center in Morehead, Kentucky. The medical center, named for Dr. Claire Louise Caudill, is sponsored by the Sisters of Notre Dame and is a Catholic, not-for-profit system like Bon Secours.

 

The Goals:

1.   To provide quality, coordinated patient care while reducing costs across the continuum of care through provider collaboration, coordination of care, and communication.

2.   To enable ACO providers and participants, including physicians and hospitals, to deliver appropriate coordinated care for Medicare Fee-for-Service beneficiaries at a time when it is most needed and in a setting that is both convenient and appropriate to the care received.

3.   To work together to ensure that all providers and participants meet quality-of-care performance standards and help patients navigate the health system.

4.   To enable Good Help ACO to benefit from the Medicare Shared Savings Program (MSSP) and share rewards with the ACO’s providers and participants. (Rewards from CMS are linked to quality improvements that also reduce overall cost and are dispersed appropriately among participating ACO providers)

The Result—Good Help ACO

Health systems that applied to become ACOs had to demonstrate that they have the capacity to serve over 5,000 Medicare Fee-for-Service beneficiaries. In the recent batch of over 170 applications that CMS received, only 106 were approved.

Date Event
December 11 2012 Good Help ACO was approved by CMS with 57000 beneficiaries in five states.
December 14 2012 Good Help ACO board meeting authorized acceptance of CMS terms and conditions.
December 17 2012 All requirements with CMS were finalized.
January 1 2013 Operations began for Good Help ACO considered one of the nation’s largest Medicare beneficiary pools.
January 10 2013 A statement was released to the press naming Good Help ACO as one of the new 106 ACOs.

Good Help’s Goal

Good Help ACO is designed to allow participating physicians and hospitals to provide appropriate coordinated care for Medicare Fee-for-Service beneficiaries at a time when it is most needed and in a setting that is both convenient and appropriate to the care received.