ACO Investment Model (AIM) Funding:
Beacon Rural Health was awarded funding by the ACO Investment Model (AIM). The AIM initiative is designed for organizations participating as accountable care organizations (ACOs) in the Medicare Shared Savings Program (Shared Savings Program). AIM is a model of pre-paid shared savings that encourages new ACOs to form in rural and under served areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk.
Effective February 17, 2016 Beacon Rural Health is using a portion of the prepaid shared savings to support care coordinator positions at Down East Community Hospital and Mount Desert Island Hospital, both of whom participate in the Shared Savings Program. In the event Beacon Health does not receive shared savings, it will not seek repayment of the funds from either hospital. The Board of Managers has determined that the retention of AIM funds by each hospital in the event shared savings are not achieved is reasonably related to the purposes of the Shared Savings Program as the spend plan will permit the hospitals – two critical access hospitals with limited funds - to fund care coordinator positions that will serve to manage and coordinate care for Shared Savings Program beneficiaries in accordance with Beacon Rural Health redesigned processes that promote patient engagement, evaluate the health needs of the Shared Savings Program beneficiaries, implement standards for beneficiary access and communication, and standardize care coordination processes across the Beacon Rural Health network. All of the foregoing will serve to lower cost and improve the quality of care delivered to Shared Savings Program beneficiaries and foster a clinically integrated network. The foregoing arrangement is one for which waiver protection is sought via a Participation Waiver under the Final Waivers in Connection with the Shared Savings Program.