TH ACO

As Affinia Health, we participate as the West Michigan Chapter of the Trinity Health Accountable Care Organization (ACO) (THACO), one of Medicare’s Next Generation ACO (NGACO) programs. Our partners in this contract with the Centers for Medicare and Medicaid Services (CMS) include Trinity Health chapters in Columbus, Ohio, Loyola in Chicago, and Summit, an independent medical group in New Jersey. We function as a unit and are evaluated by CMS as a unit. As our performance is judged primarily on quality and utilization in this program, we have identified a few key components to help us to succeed in this model, including:

• Utilizing Care Management for our highest risk population
• Addressing the primary care focused CMS quality measures
• Being cognizant of our utilization across the system and addressing trends
• Accurately identifying our patients chronic conditions to CMS by coding them correctly
• Creating strategies to use the new participation waivers and enhancements available for Next Generation ACO programs

If you are new to the Trinity Health ACO we highly encourage you to reach out to our listed Key Contacts for support.

As we head into the 2020 contract year, I look forward to working with all of you for mutual success.

Sincerely,

Rick Saier MD
Medical Director – Trinity Health ACO-West Michigan Chapter