Genesis Medicare Shared Savings Program
Formed in June 2012, Genesis collaborates with Wellmark Blue Cross and Blue Shield of Iowa as the first Accountable Care Organization in the Quad City region. Beginning July 2012, this ACO has been working with the Centers for Medicare and Medicaid Services to provide Medicare beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.
The ACO will be working to create healthier communities, with high standards for patient safety and patient outcomes. In an ACO, providers assume responsibility for managing a population of patients, both who are healthy and those who are in need of care, no matter where in the system the patients receive care. The ACO will enhance Wellmark members’ care in a variety of ways:
- Providers encouraging their patients to take an active role in their health care.
- Continued freedom to see the doctors of their choice.
- Seamless customer experience when setting up an appointment, seeing multiple doctors, and receiving follow up care.
- A reduction of redundant care and services.
1227 East Rusholme Street; Davenport, Iowa 52803
Dr. William Langley
Genesis Health System ● Navinchandra Dadhaniya, MD
Christopher Crome, MD, Chairman ● Andrew Andresen, MD ● James Bull, MD ● N. Dadhaniya, MD ● Rose Warhank, MD ● Douglas Cropper ● Wayne Diewald ● Mark Rogers ● Florence Spyrow ● George Wahlig (NOTE: All are ACO participants with the exception of Mr. Wahlig, who is a Medicare beneficiary.)
Richard Kishiue, MD, Medical Director ● Rose Warhank, MD, Chair of Care Model Committee ● Harold Miller, MD, Chair of Finance and Contracting Committee ● James Bull, MD, Chair of Medical Management Committee
Amount of shared savings or losses
To be determined
How shared savings are distributed
Reinvest in infrastructure - 15% ● Physicians - 50% ● Hospitals - 35%
This information was last updated March 2013.
How ACOs work
- Local health care providers and hospitals volunteer to work together to provide better coordinated care. Members are keenly focused on improving quality, providing greater value and slowing the increase in health care costs.
- Physicians, and others who provide patient care, will partner with the patient in making health care decisions.
- The patient is in the center of care, and providers will be better able to keep them informed, and to keep listening and honoring patient choices.
- With a goal of better coordinated care, patient medical history and test information are shared between providers.
- Unlike HMOs, managed care, or some insurance plans, an ACO can't tell patients which health care providers to see and can't change their Medicare benefits.
How ACOs share information
- Physicians use data from Medicare to help improve how they provide care. The goal is to provide the right care at the right time in the right setting. For example, physicians will obtain patient medical information from Medicare to help them to know medical history including patient medical conditions, prescriptions and visit history.
- The privacy and security of patient medical information is protected by federal law. Patients inside an ACO continue to enjoy the same rights by all those covered by Medicare.