Privia Health Reports 2023 Performance Results in the Medicare Shared Savings Program
October 29 2024 - 5:04PM
Privia Health Group, Inc. (Nasdaq: PRVA) today announced that its
Accountable Care Organizations (ACOs) achieved shared savings of
$176.6 million through the Medicare Shared Savings Program (MSSP)
for the 2023 performance year, a 34.1% increase from 2022. The 10
ACOs (collectively, Privia Quality Network or PQN) managed over
$2.3 billion in healthcare benchmark spend through approximately
2,850 providers delivering high-value, cost-efficient care to
194,786 Medicare beneficiaries in 2023.
“The success of Privia Quality Network in MSSP
is a testament to the dedication and skill of our doctors, who
provided exceptional care to nearly 195,000 patients. Their
commitment to delivering high-value, cost-effective care has
allowed us to achieve significant savings while improving patient
outcomes,” said Chief Clinical Officer, Dr. Keith Fernandez. “At
Privia, we are transforming healthcare by enhancing the patient
experience, empowering physicians, and driving better outcomes. We
are proud of the work that our doctors do, and we are committed to
continuing to provide the best possible care to our patients.”
Privia Quality Network’s MSSP performance highlights for
2023:
- Achieved savings by
9 out of 10 ACOs
- Delivered an
aggregate savings rate of 7.6%, or 8.2% excluding the Delaware ACO
Privia exited at the end of 2023
- Achieved the highest
savings rate (10.6%) in its Mid-Atlantic ACO compared with all ACOs
with more than 40,000 attributed lives participating in the
MSSP
- Achieved beneficiary
expenditures 8% lower than median ACO and 21% below fee-for-service
Medicare
- Delivered inpatient
facility spend 14% lower than median ACO and 27% lower than
fee-for-service Medicare
- Achieved outpatient
facility spend 18% lower than median ACO and 33% lower than
fee-for-service Medicare
- Realized emergency
department visits 16% lower than median ACO and 25% below
fee-for-service Medicare
Privia Quality Network supports physician
practices and 1.2 million patient attributed lives in MSSP,
Medicare Advantage, Commercial, and Medicaid arrangements. Since
2014, PQN has delivered total shared savings across these programs
of over $1.2 billion, including $690 million through participation
in the MSSP.
About Privia Health
Privia Health™ is a technology-driven, national
physician enablement company that collaborates with medical groups,
health plans, and health systems to optimize physician practices,
improve patient experiences, and reward doctors for delivering
high-value care in both in-person and virtual settings. The Privia
Platform is led by top industry talent and exceptional physician
leadership, and consists of scalable operations and end-to-end,
cloud-based technology that reduces unnecessary healthcare costs,
achieves better outcomes, and improves the health of patients and
the well-being of providers. For more information, visit
priviahealth.com.
Safe Harbor Statement
This release may contain "forward-looking
statements" within the meaning of the U.S. Private Securities
Litigation Reform Act of 1995. Such statements relate to our
current expectations, projections and assumptions about our
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“trends,” “will,” “would,” “could,” “should,” and variations of
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although some forward-looking statements may be expressed
differently. In particular, these include statements relating to,
among other things: our future actions, business plans, objectives
and prospects; and our future operating or financial performance
and projections, including our full-year guidance for 2024. Factors
or events that could cause actual results to differ may emerge from
time to time and are difficult to predict. Should known or unknown
risks or uncertainties materialize, or should underlying
assumptions prove inaccurate, actual results may differ materially
from past results and those anticipated, estimated or projected. We
caution you not to place undue reliance upon any of these
forward-looking statements. Factors related to these risks and
uncertainties include, but are not limited to: any failure by the
Company to comply with applicable healthcare laws and government
regulations in the heavily regulated industry in which the Company
operates; the impact of changes in applicable laws, rules or
regulations, including with respect to health plans and payers and
our relationships with such plans and payers, and provisions that
impact Medicare and Medicaid programs; the Company’s dependence on
relationships with its medical groups, some of which the Company
does not own; the Company’s growth strategy, which may not prove
viable and the Company may not realize expected results;
difficulties implementing the Company’s proprietary end-to-end,
cloud-based technology solution for Privia physicians and new
medical groups; the high level of competition in the Company’s
industry and any failure by the Company to compete effectively and
innovate; challenges in successfully establishing a presence in new
geographic markets; the Company’s reliance on its electronic
medical record vendor, which the Privia Technology Solution is
integrated and built upon; changes in the payer mix of patients and
potential decreases in the Company’s reimbursement rates as a
result of consolidation among commercial payers; the financial and
operational impact of complying with various complex and changing
federal and state privacy and security laws and regulations related
to Company’s use, disclosure, and other processing of personal
information and protected health information, including the Health
Insurance Portability and Accountability Act of 1996; the impact of
actual and potential cybersecurity incidents or privacy and
security breaches involving us, our vendors or other third parties;
the continued availability of a qualified workforce, including
staff at our medical groups, and the continued upward pressure on
compensation for such workforce; and those factors discussed under
the caption “Risk Factors” in the Company’s Annual Report on Form
10-K for the year ended December 31, 2023 and the Company’s
subsequent Quarterly Reports on Form 10-Q. All information in this
press release is as of the date of the release, and the Company
undertakes no duty to update this information unless required by
law.
ContactRobert BorchertSVP, Investor &
Corporate CommunicationsIR@priviahealth.com817.783.4841
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