Next Generation (Medicare ACO)
Many Partners HealthCare-affiliated primary care physicians are participating in a care coordination program called the Next Generation Accountable Care Organization (ACO), designed specifically for Medicare patients and sponsored by Medicare.
Your primary care physician may be one of the physicians participating in this program. If they are, and you are a Medicare patient, you may have received a letter in the mail from the Center for Medicare and Medicaid Services.
Our primary care physicians participating in the Next Generation ACO are affiliated with Brigham and Women's Hospital (including Harbor Medical Associates), Massachusetts General Hospital (including Nantucket Cottage Hospital and Martha’s Vineyard Hospital), Newton-Wellesley Hospital, North Shore Medical Center, Cooley Dickinson Hospital, Emerson Hospital, Pentucket Medical Associates, and Tri-County Medical Associates.
Your Medicare Benefits
If your Partners affiliated physician is a part of the Next Generation ACO your benefits are not changing with this new program. This is not a Medicare Advantage plan or an HMO. Your health coverage, premiums and insurance arrangements are unaffected. You do not need to do anything or change your doctor. You can continue to see the same clinicians you normally do. And you are always free to choose any doctor or hospital who accepts Medicare at any time. Your primary care physician may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice of what doctors you use or hospitals you visit.
You may be eligible for a waiver that allows Partners ACO providers to send patients directly to nursing facilities from an emergency room, a primary care physician’s office, or other setting, therefore avoiding unnecessary and preventable hospitalizations. This program is only for Medicare patients in the Partners ACO who meet certain clinical guidelines.
A History of ACO Success
The Next Generation ACO succeeds the first Medicare ACO program, called the Pioneer ACO. Partners was one of the first Pioneer ACOs in the country and has five years’ experience managing populations of patients in an ACO, including $31.5 million in cost savings over the past four years. With an overall quality score of 96%, Partners is among the best ACOs in the nation for delivering high-quality care.
Some Medicare beneficiaries may have received (during July 2016) a letter and form in the mail asking them to confirm their main doctor or group practice. These letters and forms are associated with a new Medicare initiative involving ACOs. Completion of the form is optional and will not affect your Medicare benefits.
For More Information
Contact the Partners ACO
399 Revolution Drive
Somerville, MA 02145
Dr. Sree Chaguturu
For more information on the Next Generation (Medicare) ACO, please call the Next Generation ACO Hotline at Partners HealthCare:
or call Medicare at:
1-800-633-4227 (TTY users should call 1-877-486-2048)
To file a grievance with Partners Care Connect, please contact:
866-455-1344; fax: 617-526-1980;
399 Revolution Drive, Suite 820; ATTN: Grievance Coordinator
Hotline hours of operation: 8am – 5pm ET (LIVE)
Goal of an ACO
The goal of an ACO is for doctors, hospitals, and other health care providers to work closely together to deliver coordinated, high-quality care.