Enabling practices to thrive in value-based primary care
Evolent’s Primary Care Solution — Evolent Care Partners — helps independent providers to improve quality and affordability of care through our Medicare Shared Savings Program ACO.
Providers in our ACO network access our proven population health and care coordination resources to improve outcomes across their Medicare beneficiary patient panels.
Evolent enables providers to earn immediate and ongoing income for improving the quality and affordability of care they deliver.
Evolent helps providers participate in financially rewarding value-based payment models without assuming risk.
The independent provider’s ACO
Many independent primary care providers are attracted to accountable care organizations (ACOs) by the promise of delivering better, more holistic care for patients while increasing practice revenue. Yet too often, they don’t feel equipped to take the leap into the two-sided performance-based contracts.
Through our Primary Care Solution (Evolent Care Partners), Evolent provides the capital, resources and technology to help independent primary care providers succeed in value-based care, without assuming downside risk or out-of-pocket expenses. Operating since 2020 as Evolent Care Partners, our Medicare Shared Savings Program Enhanced Track ACO now has more than 1,200 providers and has saved Medicare over $100 million since inception.
Highlights of our ACO solution include:
New and immediate income opportunity
Our ACO rewards providers with immediate and potential long-term revenue streams, including:
- Network sign-on pre-payment for committing to the ACO and performing agreed-upon services
- Quarterly payments for activities that drive quality improvement and advance ACO initiatives
- Enhanced Track shared savings, with the majority of shared savings captured by providers after the ACO’s operating expenses are covered
- Qualification for Part B Advanced Alternative Payment Model bonus
Population health capabilities
Practices gain no-cost access to population health tools and proven care coordination resources, including:
- Care coordination team that delivers proven clinical programs to improve outcomes for patients who are Medicare beneficiaries
- Proprietary Panel Insight platform that identifies most high-impact population health activities for the Medicare beneficiaries and prompts practices to complete them
- Analytics to identify local cost and quality improvement opportunities
Downside risk protection and investment capital
Evolent assumes financial responsibility for network performance, meaning that providers:
- Take on zero downside risk
- Benefit from Evolent’s investments to improve care quality while reducing costs
Ease administrative burdens
Focus on value rather than volume while managing administrative requirements more efficiently.
- Streamlined risk documentation and quality reporting
*Based on providers with 200 or more attributed beneficiaries
12
States with active operations
1,200+
Providers participating in our network
94K+
Medicare beneficiaries attributed to our ACO
100K+
Medicare beneficiaries have engaged in our clinical model
I believe working in the Evolent ACO enables our practice to keep the focus where it belongs — on high quality patient care — while improving outcomes across our patient panel. We're very pleased with the ACO's results this year (PY 2022). The revenue we earn from this collaboration helps us to thrive as an independent practice.
Evolent has become an extension of our practice and has allowed me to remain independent while better managing my population of Medicare patients. Evolent provides tools for us to work on quality, take better care of patients, and participate in the Medicare Shared Savings Program. The financial model rewards us in real-time for focusing on, and providing, value-based care.
Evolent helps us focus on patients needing specific interventions that we may have missed because we’re busy dealing with the issues of the day. So, we appreciate having a partner who identifies patients and helps us get them in to receive high-value care.
Evolent saves Medicare more than $55 million through its Medicare Shared Savings Program ACO
Evolent’s ACO improves year-over-year quality and reduced costs by 5.6% in 2022