Investor Presentaiton
Appendix B: Provider Level Spending Growth
ACOs' Commercial Market Performance Against the Cost
Growth Target
2021 commercial growth is not published for Blackstone Valley Community Health
Care (BVCHC), Integrated Healthcare Partners (IHP), Providence Community Health
Centers (PCHC), or Thundermist Health Center (Thundermist) because they did
not have the minimum number of commercial attributed lives required for public
reporting. Among the four ACOs that had sufficient attributed lives for performance
to be publicly reported, all exceeded the cost growth target for the 2021 performance
period (see Exhibit B.1). The range of spending growth of ACOs in the commercial
market is similar to that of commercial insurers (7-11 percent for ACOs, 7-13 percent
for insurers).
Exhibit B.1: ACOs' 2021 Commercial Market Performance Against the Cost Growth Target
-16.0%
-12.0%
-8.0%
-4.0%
0.0%
4.0%
7.2% Prospect
- 7.7% Lifespan
9.1% Coastal
10.5% Integra
12.0%
16.0%
8.0%
Source: OHIC analysis of TME data from insurers. Target performance is calculated using truncated and age/sex risk-adjusted spending.
ACOs' Medicare Advantage Market Performance Against the Cost
Growth Target
2021 Medicare Advantage spending growth is not published for BVCHC, IHP, PCHC,
and Thundermist because they did not have the minimum number of Medicare
Advantage attributed lives required for public reporting. Among the four ACOS
that met the minimum for reporting - which were the same four ACOs that met the
threshold for reporting in the commercial market - all exceeded the cost growth
target for the 2021 performance period. The range of the ACOs' Medicare Advantage
spending growth was similar to the range of their commercial spending growth.
Exhibit B.2: ACOs' 2021 Medicare Market Performance Against the Cost Growth Target
4.8% Coastal
5.7% Integra
6.1% Lifespan
7.9% Prospect
8.0%
12.0%
16.0%
-12.0%
-8.0%
-4.0%
0.0%
4.0%
-16.0%
Source: OHIC analysis of TME data from insurers. Target performance is calculated using truncated and age/sex risk-adjusted spending.
1 Insurers and providers must have a minimum of 5,000 attributed lives in the applicable market for their spending growth to be publicly reported.
Annual Report: Health Care Spending and Quality in Rhode Island
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