Brown & Toland and the Medicare Pioneer ACO Program

Brown & Toland Physicians, a network of more than 1,500 San Francisco Bay Area physicians, was one of the original 32 healthcare organizations asked to participate in the Medicare Pioneer Accountable Care Organization (ACO) program when the initiative was first launched in late 2011. The Medicare ACO program was established by the Affordable Care Act and is administered by the Centers for Medicare and Medicaid Services (CMS). 

The Medicare ACO program is designed to improve the health of Medicare beneficiaries. CMS selected certain Medicare beneficiaries to receive ACO program services at no additional cost.  

Participants in Brown & Toland’s Medicare ACO program received, at no additional cost:

  • Comprehensive, coordinated, and seamless care between doctors, specialists, and other health care providers;

  • Post-hospitalization or discharge assistance, such as home visits from a trained patient advocate, to help Medicare ACO beneficiaries connect with your doctor, help you understand your medications, or set up additional services you may need;

  • Chronic disease care instruction and educational programs for you and your caregivers; and

  • Health coaches and patient advocates to help you access follow-up health care services.  

In three years, Brown & Toland generated more than $17 million in savings for the Medicare program, and quality scores for the population of patients in the Pioneer program improved annually.

In addition to the Pioneer program, Brown & Toland also supports its physicians and patients with a variety of care programs, such as chronic care management programs, health coaching, and post-hospitalization at-home services, to improve care. Brown & Toland also participates in a number of accountable care projects for HMO and PPO patients.