80% 12% 7% 1% Aged Non-Dual Disabled Aged Dual ESRD Shared Savings Program Fast Facts – As of July 1, 2019 SHARED SAVINGS PROGRAM INFORMATION PROGRAM CHARACTERISTICS Performance Year ACOs Assigned Beneficiaries 2019* 2018 2017 2016 2015 2014 2012 / 2013 518 561 480 433 404 338 220 10.9 million 10.5 million 9.0 million 7.7 million 7.3 million 4.9 million 3.2 million *2019 contains one 12-month performance year and two six-month performance years. PERFORMANCE YEAR (PY) RESULTS PY 2017 Total Earned Shared Savings $799,420,562 Average Overall Quality Score 92.40% PY 2016 Total Earned Performance $700,607,912 Payments Average Overall Quality Score 94.65% PY 2015 Total Earned Shared Savings $645,543,866 Average Overall Quality Score 91.44% PY 2014 Total Earned Performance $341,246,303 Payments Average Overall Quality Score 83.08% PY 2012 / 2013 Total Earned Performance $315,908,772 Payments Average Overall Quality Score 95.00% 2019 SHARED SAVINGS PROGRAM ACO INFORMATION ACO TRACKS ACOs Percent One Sided BASIC Track Levels A&B Track 1 108 258 21% 50% Two Sided BASIC Track Levels C&D Track 1+ Model BASIC Track Level E Track 2 ENHANCED Track* 6 28 41 5 72 1% 5% 8% 1% 14% (*Track 3 was renamed the ENHANCED track) HIGH / LOW REVENUE ACOs High Revenue Low Revenue 267 251 ACO COMPOSITION Physicians Only Physicians and Hospitals FQHCs / RHCs Other Facilities 176 272 62 8 52% 48% High revenue Low revenue 34% 52% 12% 2% Physicians Only Physicians and Hospitals FQHCs / RHCs Other Facilities SNF AFFILIATES & SNF 3-DAY RULE WAIVER ACOs approved for a SNF 3-Day Rule Waiver Total number of SNF affiliates 89 1,232 ACO PARTICIPANT LIST COMPOSITION Participant TINs Physicians and non-Physicians Hospitals Federally Qualified Health Centers (FQHCs) Rural Access Hospitals Critical Access Hospitals 18,259 435,809 1,472 2,358 1,324 435 ACO COMPOSITION 2019 MEDICARE BENEFICIARY DEMOGRAPHIC DISTRIBUTION Enrollment Type Beneficiary Person-Years Aged Non-Dual Disabled Aged Dual ESRD 8,601,630 1,306,426 719,834 79,445 1

2019 Shared Savings Program Fast Facts - CMS...80% 12% 7% 1% Aged Non-Dual Disabled Aged Dual ESRD Shared Savings Program Fast Facts – As of July 1, 2019 SHARED SAVINGS PROGRAM INFORMATION

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Page 1: 2019 Shared Savings Program Fast Facts - CMS...80% 12% 7% 1% Aged Non-Dual Disabled Aged Dual ESRD Shared Savings Program Fast Facts – As of July 1, 2019 SHARED SAVINGS PROGRAM INFORMATION

80%

12%

7% 1%

Aged Non-DualDisabledAged DualESRD

Shared Savings Program Fast Facts – As of July 1, 2019SHARED SAVINGS PROGRAM INFORMATION PROGRAM CHARACTERISTICS

Performance Year ACOs Assigned Beneficiaries

2019*201820172016201520142012 / 2013

518561480433404338220

10.9 million10.5 million9.0 million7.7 million7.3 million4.9 million3.2 million

*2019 contains one 12-month performance year and twosix-month performance years.

PERFORMANCE YEAR (PY) RESULTS

PY 2017Total Earned Shared Savings $799,420,562Average Overall Quality Score 92.40%

PY 2016Total Earned Performance $700,607,912Payments Average Overall Quality Score 94.65%

PY 2015Total Earned Shared Savings $645,543,866Average Overall Quality Score 91.44%

PY 2014Total Earned Performance $341,246,303Payments Average Overall Quality Score 83.08%

PY 2012 / 2013Total Earned Performance $315,908,772PaymentsAverage Overall Quality Score 95.00%

2019 SHARED SAVINGS PROGRAM ACO INFORMATIONACO TRACKS

ACOs Percent

One SidedBASIC Track Levels A&BTrack 1

108258

21%50%

Two SidedBASIC Track Levels C&DTrack 1+ ModelBASIC Track Level ETrack 2ENHANCED Track*

628415

1%5%8%1%

14%

(*Track 3 was renamed the ENHANCED track)

HIGH / LOW REVENUE ACOs

High RevenueLow Revenue

267251

ACO COMPOSITION

Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities

176272628

52%48%High revenueLow revenue

34%

52%

12% 2%

Physicians OnlyPhysicians and HospitalsFQHCs / RHCsOther Facilities

SNF AFFILIATES & SNF 3-DAY RULE WAIVERACOs approved for a SNF 3-Day Rule WaiverTotal number of SNF affiliates

891,232

ACO PARTICIPANT LIST COMPOSITIONParticipant TINsPhysicians and non-PhysiciansHospitalsFederally Qualified Health Centers (FQHCs) Rural Access HospitalsCritical Access Hospitals

18,259435,809

1,4722,3581,324435

ACO COMPOSITION 2019 MEDICARE BENEFICIARY DEMOGRAPHIC DISTRIBUTION

Enrollment Type Beneficiary Person-Years

Aged Non-DualDisabledAged DualESRD

8,601,6301,306,426719,834

79,445