ACO Updates

August 31, 2018

Dear Friends and Associates,

The Centers for Medicare and Medicaid Services (CMS) has just announced that we may share the recently released results for the 2017 performance year for the Medicare Shared Savings Program.

We are immensely proud and pleased to announce to you that for the third year in a row Silver State ACO has earned shared savings.  This is a spectacular achievement which very few ACOs nationwide have attained.

Over the course of the three years – 2015, 2016 and 2017 - Silver State ACO saved CMS (and taxpayers) nearly $36,000,000.

Silver State ACO participants made significant improvements in quality of care, as evidenced by the outstanding overall quality score of 90.24%, while achieving cost savings.  Silver State ACO has proven that delivering excellent care, while reducing costs, is possible!

2018 has also been a great year for Silver State ACO’s growth.  We are now comprised of 50 groups with over 400 PCPs.  We have 42,000 attributed Medicare Fee-for-Service beneficiaries for whom we are responsible. This shows tremendous growth from the 15,000 patients in 2015, to 19,700 in 2016 and 25,000 in 2017. Our 42,000 patients in 2018 reflects a 68% increase over the previous year.

Achieving shared savings is a result of hard work and cooperation between the Participant Providers, Preferred Providers and Silver State ACO.  We’d like to thank our providers and their staff for helping us achieve this.  Together as a team, along with our corporate partners Kindred Healthcare and the Valley Health System, we can continue to accomplish great results for our practices, our providers and our patients.

Again, thank you.


Lawrence M. Preston

J. Bruce Wiggins
Vice Chairperson of SSACO Board of Directors Co-founder


January 16, 2018

CMS has released data on 2018 Medicare Shared Savings Program ACOs, now allowing ACOs to publicly announce their participation. In 2018 there are a total of 561 ACOs participating in the various tracks of the program, serving beneficiaries in all 50 states and Washington DC.

Silver State ACO is proud to announce that we are now comprised of 50 physician practices and represent nearly 43,000 attributed beneficiaries.  Our 400+ PCPs (statewide) see many times that number of patients. Attributed patients are the ones for whom CMS will consider the cost of care and quality measures scores in determining SSACO’s “success” (i.e. earning shared savings).  This number of beneficiaries represents continued and consistent growth, from about 15,000 patients in 2015 to 19,700 in 2016 and nearly 25,000 in 2017. We are the largest ACO in Nevada and our attributed patient population has grown from 2017 by more than 70% to nearly 43,000.

SSACO was successful in both 2015 and 2016, and returned over $3,500,000 of shared savings earned to our Physicians. (Results for 2017 are not expected from CMS until September, 2018).

A listing of the groups that make up Silver State ACO has been uploaded to our website (  Additional detail will be in our newsletters, also available through the website.

We’d like to take this opportunity to thank our participants, staff, partners and friends who have helped Silver State ACO achieve shared savings, continue to grow, and assist our providers in delivering outstanding care.


Lawrence M Preston
CEO and Co-founder

J. Bruce Wiggins

Vice Chairperson of SSACO Board of Directors, and Co-founder


September 1, 2016

       Contact:                                                                      Contact:

Susan E. Moss                                                            Bruce Wiggins

Senior Vice President,                                                 Governing Board Vice Chairperson

Marketing and Communications                                 Silver State ACO

Kindred Healthcare                                                     (702) 528-5037

(502) 596-7296                                                                      


LOUISVILLE, Ky. and LAS VEGAS, Nev. (September 1, 2016) The Centers for Medicare and Medicaid Services (“CMS”) recently announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings.

In 2015, Medicare Accountable Care Organizations had combined total program savings of $466 million, which includes all Accountable Care Organizations’ experiences, for 392 Medicare Shared Savings Program participants and 12 Pioneer Accountable Care Organization Model participants. The results show that more Accountable Care Organizations shared savings in 2015 compared to 2014, and those with more experience tend to perform better over time.

Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high-quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.

Silver State ACO is one of the ACOs that shared savings.

“Silver State ACO started in 2014 and is extremely pleased to be among only 22% of these ACOs that generated savings for performance year 2015. We are very proud of our high-quality scores which helped us achieve the performance payment,” said Bruce Wiggins, Silver State ACO Co-Founder and Governing Board Vice Chairperson.

“We’ve said time and again that we are uniquely positioned for success in a value-based system of healthcare delivery, and our experience with our partners and patients in the Silver State ACO demonstrates just that,” said Benjamin A. Breier, President and Chief Executive Officer of Kindred Healthcare, Inc. (NYSE:KND), which owns part of Silver State ACO. “This is consistent with Kindred’s strategy to partner with premier health providers in order to effectively manage patient care across an entire episode with improved quality outcomes in local communities nationwide.”

Additional Resources

Visit the Medicare Shared Savings Program
News and Updates webpage to access the CMS press release and fact sheet, the link to the Performance Year 2015 results file, and to learn more about the program.

About Kindred Healthcare

Kindred Healthcare, Inc., a top-90 private employer in the United States, is a FORTUNE 500 healthcare services company based in Louisville, Kentucky with annual revenues of approximately $7.2 billion(1). At June 30, 2016, Kindred through its subsidiaries had approximately 101,800 employees providing healthcare services in 2,684 locations in 46 states, including 97 transitional care hospitals, 19 inpatient rehabilitation hospitals, 92 nursing centers, 19 sub-acute units, 617 Kindred at Home home health, hospice and non-medical home care sites of service, 105 inpatient rehabilitation units (hospital-based) and contract rehabilitation service businesses which served 1,735 non-affiliated sites of service. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for seven years, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. For more information, go to You can also follow us on Twitter and Facebook.

(1)Revenues based upon Kindred consolidated revenues for the twelve months ended June 30, 2016.

About Silver State ACO

Silver State currently covers the lives of approximately 25,000 Medicare beneficiaries in Southern Nevada through the coordinated care delivered by about 225 participating physicians and healthcare providers, including Kindred, which became a strategic owner and partner in the ACO in May 2014. Similar to other Shared Savings ACOs, the goal of Silver State is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. The management team at Silver State has over 100 years of experience in the healthcare field and is determined to make a difference in the quality of care given its patients.