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Dartmouth-Hitchcock Health (D-H Health) Next Generation Accountable Care Organization (ACO)

Building upon experience from the Pioneer ACO Model and the Medicare Shared Savings Program (Shared Savings Program), the Next Generation ACO Model offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care.

D-H Health is among 45 organizations selected by the Centers for Medicare and Medicaid Services (CMS) Innovation Center to participate in the Next Generation ACO Model. D-H Health will partner with our Medicare beneficiaries and their families to achieve the "triple aim" of experience of care, improving quality, and reducing cost. We will utilize care coordination practices and programs by focusing on patient outreach and education.

Name and Location of the ACO

Dartmouth-­Hitchcock Health Next Generation ACO
One Medical Center Drive
Lebanon, New Hampshire 03756

Hours of Operation: Monday-Friday, 8:00 am - 4:00 pm EST

ACO Primary Contacts

Stephen LeBlanc
Chief Strategy Officer
Dartmouth-Hitchcock 
One Medical Center Drive
Lebanon NH 03756
(603) 650-5244

Steven Paris, MD
Regional Medical Director and Interim Medical Director for ACO Operations
Dartmouth-Hitchcock
Five Bedford Farms Drive
Bedford NH 03110
(603) 695-2524

Lynn Guillette, CPA, MBA, MHCDS
Vice President - Payment Innovation
Dartmouth-Hitchcock
One Medical Center Drive
Lebanon NH 03756
(603) 653-1260

Other Contacts

Centers for Medicaid and Medicare Services (CMS)
7500 Security Boulevard
Baltimore, MD 21244
(800) MEDICARE

If you need more information about this model, please feel free to contact your primary care provider's office or call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

You can also get more information online at the websites below:

ACO Providers and Participants

ACO Participants

D-H Health is a New Hampshire non­profit corporation. The ACO participants listed below participate in the ACO with D-H Health. Our organization includes specialists in diabetes management, cancer care, heart disease, rheumatology, neurology, orthopedic medicine, psychiatry and more. We also have partnerships with nursing and rehabilitation facilities as well as with local hospitals. Through our ACO, all of these providers are now linked, making it easier to coordinate your care and focus on you. To access a provider listing of D-H Health ACO providers by location, please click on the appropriate clinic below.

Clinics

Skilled Nursing Facilities

Alice Peck Day Memorial Hospial

Lebanon

NH

Brookside Health and Rehabilitation Center LLC

White River Jct

VT

Cottage Hospital

Woodsville

NH

Courville at Manchester LLC

Manchester

NH

Courville at Nashua Inc

Nashua

NH

Fairview Nursing Home

Hudson

NH

Applewood Center

Winchester

NH

Keene Center, Genesis Healthcare

Keene

NH

Lebanon Center, Genesis Healthcare

Lebanon

NH

Ridgewood Center, Genesis

Bedford

NH

Good Shepherd Rehabilitation and Nursing Center

Jaffrey

NH

Kindred Nursing Centers

Nashua

NH

Hanover Hill Health Care Center

Manchester

NH

Havenwood-Heritage Heights

Concord

NH

Hillsborough County Nursing Home

Goffstown

NH

Mount Carmel Rehabilitation and Nursing Center

Manchester

NH

Maple Leaf Healthcare Center

Manchester

NH

Mt. Ascutney Hospital TCU

Windsor

VT

The New London Hospital

New London

NH

Rockingham County Nursing Home

Brentwood

NH

Villa Crest Healthcare Center

Manchester

NH

Westwood Center

Keene

NH

Salemhaven Inc

Salem

NH

Warde Rehabilitation and Nursing Center

Windham

NH

ACO Waiver Disclosures

There are no joint ventures between or among D-H Health ACO and any of its Participants and Preferred Providers.

Aggregate Amount of Shared Savings/Losses

Shared Savings distribution will be reported on in 2018.

How Shared Savings Are Distributed

100% invested in achieving population health optimization.

Quality Performance

Results will be posted in 2018

D-H Health Next Generation ACO Additional Benefits

Not all Medicare patients were aligned to the ACO model. If you are aligned to the ACO model you will receive a written Beneficiary notice of your alignment from Dartmouth-Hitchcock. Your primary care provider will work with you and other doctors and nurses as needed to coordinate and manage the care you receive. Your regular Medicare services will continue to be covered, and you can still see your current doctor and any other doctor you choose.

As a part of being associated with this ACO, there are a few new benefits for you. You can get a $25 check as a Coordinated Care Reward when you get your Annual Wellness Visit from your doctor at Dartmouth-Hitchcock who participates in the D-H Health ACO. An Annual Wellness Visit is a chance for you to discuss your health, your medications, and your team of doctors with your primary doctor to ensure s/he can coordinate your care. An Annual Wellness Visit isn’t a physical; it’s a distinct visit that can be received once a year, which lets you have a conversation with your doctor about your health. Such visits have been shown to improve health care for beneficiaries, which is why you will be rewarded for receiving an Annual Wellness Visit.

The Centers for Medicare & Medicaid Services (CMS), which is the agency that runs Medicare, will send the check to the address you have listed with the Social Security Administration (SSA). CMS will identify beneficiaries who qualify for the reward on a quarterly basis, so that you can get your $25 check as soon as possible within the next quarter following your Annual Wellness Visit. To get this check please make sure Social Security has your current mailing address by creating an account and updating your profile on their website, https://www.ssa.gov/myaccount/.

There are several reasons why Medicare will send you a Coordinated Care Reward if you receive an Annual Wellness Visit from your doctor who participates in the D-H Health ACO. Patients who get good care stay healthier, have fewer complications, and require fewer hospitalizations. Coordinated care avoids wasted time and costs for repeated tests and unneeded appointments. It is easier to spot potential problems before they become more serious – like avoiding drug interactions that can result if one doctor is unaware of what another doctor has prescribed. Medicare understands the value that coordinated care provides, and will therefore be rewarding patients who help us meet this goal with a Coordinated Care Reward.

Please know that even with this reward you are not limited to a fixed set of providers. You are still free to use any doctor or hospital that accepts Medicare. If you choose to receive an Annual Wellness Visit from a provider that accepts Medicare, but does not belong to the D-H Health ACO, you will not receive the reward but the visit will still be covered by Medicare. Details are also available on our website at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ MLNProducts/downloads/AWV_chart_ICN905706.pdf

Special Benefits Available to the D-H Health ACO

  • 3-day Skilled Nursing Facility (SNF) Rule Waiver: Under current Medicare law, Medicare only covers care in a SNF if a patient has a prior 3-day inpatient hospital stay. This new feature may allow you to get Medicare covered SNF services at a participating SNF without a mandatory 3-day inpatient hospital stay. For a list of participating SNFs, please visit our website at: www.dartmouth-hitchcock.org
  • Telehealth Expansion: Telehealth services allow you to receive some health care services using real-time communication between you and your primary care doctor or specialist. For a list of participating physicians, please visit our website at: www.dartmouth-hitchcock.org

D-H Health ACO Beneficiary Letters

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