Shared Savings & Shared Losses

Performance Year 1 (2023): -$14,298,758.70

Performance Year 2 (2024): Shared Savings or Losses will be reported once available.

Quality Measure Performance​

Quality Measure Performance for all Performance Years will be reported once available.

Performance Year 1 (2023):

• Risk-Standardized, All-Condition Readmission: 15.87
• Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions: 33.76
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions: 73.15​
  
• Consumer Assessment of Healthcare Research and Quality: 93.44%​
  

Performance Year 2 (2024): Quality Measure Performance will be reported once available.

How Shared Savings Will Be Distributed​

Unlike most other ACOs, Pearl has taken the provider-centric approach of creating an individualized risk pool for clients of sufficient scale. This is a better model for physician groups, especially performant ones, allowing ACO practices access to their own economics with the benefits of their own ACO — without the overhead of running their own ACO. Individual risk pools ensure potential savings or losses are driven only by a group’s own efforts and no one else's. Because of this, Pearl’s high-performing clients earned more than they would elsewhere.

Performance Year 1 (2023):

• Proportion to infrastructure and redesigned care processes: 0%​​
• Proportion to ACO Participants and Preferred Providers: 100%​​

Performance Year 2 (2024):

• Proportion to infrastructure and redesigned care processes: TBD​​
• Proportion to ACO Participants and Preferred Providers: TBD