Case Study Release: Serious Illness Approaches by ACOs: U.S. Medical Management

April 25, 2019

The Duke-Margolis Center, in collaboration with Leavitt Partners and funded by the Gordon and Betty Moore Foundation, have worked for the past year to identify feasible, actionable, and successful approaches to delivering serious illness care within accountable care organizations (ACOs). This effort has produced six case studies showing how exemplar and diverse ACOs are addressing serious illness care. The cross-cutting findings from the six case studies will be published in Health Affairs in June. 

Download the case study below, which is the first to be released, and features U.S. Medical Management (USMM), a physician-led Medicare ACO headquartered in Troy, MI and operating in 12 states. USMM focuses almost entirely on home-based primary care, enrolling a patient population of 20,000 consisting of homebound frail elderly and others with serious illness. They have achieved shared savings every year they have participated in the Medicare Shared Saving program (most recently generating savings of $46 million in 2017) while producing a composite quality score of 92%.

Download the Case Study 

If you have any questions or concerns, please email dukemargolis@duke.edu.