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News SSM Health Joins Group to Accelerate Transformation of US Health Care System

SSM Health Joins Group to Accelerate Transformation of US Health Care System

SSM Health announced today that it is joining forces with other leading health care systems and payors across the country to launch a powerful new private-sector alliance.
2/4/2015

​SSM Health announced today that it is joining forces with other leading health care systems and payors across the country to launch a powerful new private-sector alliance dedicated to accelerating the transformation of the U.S. health care system from volume to value.

As part of the Health Care Transformation Task Force, SSM Health has committed to put 75 percent of its business into value-based arrangements that focus on providing higher quality care at lower costs by 2020.

“Health care costs are growing at an unsustainable rate,” said Dr. Gaurov Dayal, President – Health Care Delivery, Finance and Integration with SSM Health. “SSM Health began working on transforming itself about five years ago when our hospitals and 1,300 employed physicians and providers began partnering with patients, payors and employers to together assume risk and responsibility for improving the quality of care while lowering costs. The Task Force’s deep expertise and leadership brings the necessary stakeholders together to solidify this transformation and we join them in this effort.”

Dr. Dayal praised the group’s commitment to aligning the public and private payor systems, adding that the comprehensive, collaborative approach will provide common accountability targets, metrics and incentives, and will allow for true best practice identification. Through its commitment, the Task Force also hopes to provide confidence to providers and payors that the nation will stay the course to achieve this transformation.

Participants in the Health Care Transformation Task Force provide a critical mass of business, operational and policy expertise to increase the momentum of delivery and payment system reforms. The Task Force’s diverse membership of providers, payers, purchasers and patients, as well as academic and policy leaders, uniquely positions it to offer recommendations to both policymakers and the industry that reflect consensus and can thus gain wide acceptance and use.

“SSM Health is one of our founding members and an important partner in the Task Force’s work to accelerate the transformation of the U.S. health care system to deliver improved quality and value,” said Richard J. Gilfillan, MD, CEO of Trinity Health, the Task Force’s chairman. “Together, we recognize that now is the time for rapid, measurable change, and we are committed to leading the way.”

The Task Force will develop timely and actionable policy and program design recommendations for the private sector, the Centers for Medicare & Medicaid Services (CMS), Congress and others; new delivery and payment models; and best-practice tools, benchmarks and approaches to implement them. Initial priorities include improving the Accountable Care Organization (ACO) model, developing common bundled payment framework and improving care for high-cost patients. 

Today, the Task Force also released its first consensus recommendations on how best to design the next generation of the ACO model in commercial, Medicare and Medicaid programs. The recommendations will form the basis of the Task Force’s upcoming comment letter on the CMS proposed changes to the Medicare Shared Savings ACO program.

The Task Force defines value-based payment arrangements as those which successfully incentivize and hold providers accountable for the total cost, patient experience and quality of care for a population of patients, either across an entire population over the course of a year or during a defined episode that spans multiple sites of care.

To learn more about Health Care Transformation Task Force, see a full list of members and stay up to date on its latest recommendations and reports, visit www.hcttf.org and follow the Task Force on Twitter at @HCTTF.

About SSM Health
SSM Health (www.ssmhc.com) is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation.

With care delivery sites in  Illinois, Missouri, Oklahoma, and Wisconsin, SSM includes 19 hospitals, more than 60 outpatient care sites, a pharmacy benefit company, an insurance company, two nursing homes, comprehensive home care and hospice services, a technology company, and two Accountable Care Organizations. With more than 1,300 employed physicians and nearly 30,000 employees in four states, SSM is one of the largest employers in every community it serves. An early adopter of the electronic health record (EHR), SSM is a national leader for the depth of its EHR integration. The addition of Dean Health System in 2013 brings the number of physician visits across SSM Health to 4 million annually.

About Health Care Transformation Task Force
Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit www.hcttf.org.