Commercial ACO Measurement

Commercial ACO Measurement & Benchmarking Initiative

California is on the leading edge of provider payment innovations, such as accountable care organizations (ACOs), and performance measurement and benchmarking initiatives to foster better care, better health, and smarter spending. At the same time, performance measures have proliferated nationally, increasing demands on providers and potentially challenging efforts to advance high-value care.

To make performance measurement more meaningful and less burdensome, IHA and the Pacific Business Group on Health have partnered to develop a standardized performance measurement and benchmarking program for commercial ACOs in California and potentially across the nation. The effort builds on IHA’s successful Value Based P4P (VBP4P) and Medicare Advantage (MA) Stars performance measurement programs for physician organizations participating, respectively, in commercial HMO and MA provider networks.

The goal of the IHA-PBGH partnership is to develop and implement a standard measure set for commercial ACOs that meets the needs of participating purchasers, health plans, and providers while advancing national efforts for coordinated, meaningful performance measurement that promotes high-quality, affordable, patient-centered care—or high-value care. Measurement year (MY) 2017 measures will be reported to participating health plans and ACOs in 2018. The MY 2017 Commercial ACO Measure Set and a set of Reporting Guidelines for participants are now available.

An overview of the initiative provides detailed information about the project’s objectives and guiding principles, as well as the IHA-PBGH approach to advancing nationally relevant ACO performance measures. A set of Frequently Asked Questions (FAQS) address commonly asked questions about the initiative.