"That does not mean we will end up pursing the Medicare Shared Savings program or even the Pioneer (ACO) program right now." The Pioneer program was introduced several weeks ago by CMS as an expedited ACO model for organizations that are far enough along in building their networks that they might start by fall, instead of waiting for Jan. 1.
Van Gorder said that Scripps "will probably sign a letter of intent with the Pioneer Program but might not pursue it either, depending on the final regulations."
The Scripps IDN will be a contracting entity, and one that will bear risk depending on the contract and the payor, Van Gorder said.
Webcast: Alternative ACO Strategies: Available on demand.
Governance of the entity will be managed by a Physician Business Leader Cabinet, including affiliated medical groups, NAMM and Scripps Health, and will decide which contracts or relationships will be pursued.
The 14 Scripps-affiliated physicians groups include more than 500 primary care doctors in Southern California.