Broward Guardian, Memorial Healthcare System’s Accountable Care Organization, Ranked #1 in the U.S. for Shared Savings Per Beneficiary Among Healthcare System-owned ACOs


Broward Guardian is an accountable care organization operated by Memorial Healthcare System.

“These results were accomplished through the enhanced coordination of care among a network of primary care and specialty physicians supported by professionals and technology housed in Memorial’s value-based care division.” – Matthew Muhart, Memorial Healthcare System Chief Strategy Officer

Recently, the Center for Medicare and Medicaid Services (CMS) released the results of all ACO’s performance in the Medicare Shared Savings Program (MSSP). In this latest reconciliation for the performance year 2021, Broward Guardian ACO, which was purchased by Memorial Healthcare System (“Memorial”) in May of 2020, had the highest savings per beneficiary of any other high revenue (or health-system-owned) ACO in the nation in the MSSP program.

Broward Guardian has achieved a cumulative $36 million in shared savings since its inception in 2014 while caring for close to 9,000 beneficiaries. For the most recent program year of 2021, Broward Guardian achieved more than $11 million in savings in the program of which they received more than $8 million.

“These results were accomplished through the enhanced coordination of care among a vibrant and dedicated community-wide network of primary care and specialty physicians supported by a very robust team of professionals and technology resources housed in Memorial’s value-based care division,” said Matthew Muhart, Memorial’s Executive Vice President and Chief Strategy Officer. “Working together, we provide not only the chronic condition management many Medicare beneficiaries need, but the sorely needed navigation to care and other services, such as support for socioeconomic needs, which are often barriers to accessing care, and are necessary for keeping a population healthy.”

Since the purchase in 2020, Memorial has invested in technology, infrastructure, analytics, and numerous clinical resources for Broward Guardian to improve the health of the populations in the communities they serve and to reduce the total cost of care by helping patients receive the right care at the right time and in the right setting.

“The deployment of these resources across all of our value-based care programs including Broward Guardian, Memorial Health Network – our commercial ACO managing approximately 200,000 members – participation in approximately 20 bundle payment programs under Medicare’s BPCI-A program, and our co-branded Medicare Advantage Health Plan with Holy Cross Health and Oscar are producing incredible results, improving people’s health, and making the cost of healthcare more efficient,” said Monica Puga, Sr. VP, and Chief Nursing Executive.

There are close to 800 primary and specialty providers in the Broward Guardian ACO, providers that have partnered with Memorial on this value-based care journey. At the top level, Memorial is committed to care transformation, technology enablement, and innovation to support growth in the ACO.

Broward Guardian ACO performance depends on the innovative, technology-based clinical support and the collaboration among physicians, specialists, and clinical operations which collectively have resulted in optimized clinical, quality and financial outcomes.

“It is clear to us that our stakeholders; our patients and their families, the employers in our community, our physicians, and our commercial and governmental payers are expecting more from us, which means improving the health of our community and becoming more cost-efficient. These results validate Memorial is leading the way in South Florida,” Muhart said.

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About Broward Guardian:

Acquired by Memorial Healthcare System in 2020, Broward Guardian was first formed in 2013 as a primary care-focused organization and began as a Track 1 ACO in 2014 in the Medicare Shared Savings Program. Broward Guardian advanced to a Track 3 ACO in the Medicare Shared Savings Program in 2017 and is currently in the Enhanced track. Currently, there are 39 ACO participants and 795 ACO providers and suppliers with approximately 9,000 Medicare beneficiaries attributed to Broward Guardian ACO.

About Memorial Healthcare System:

Memorial Healthcare System is one of the largest public healthcare systems in the U.S. and a national leader in quality care and patient satisfaction. It is highly regarded for a patient and family-centered approach at facilities that include Memorial Regional Hospital, Joe DiMaggio Children’s Hospital, Memorial Regional Hospital South, Memorial Hospital West, Memorial Hospital Miramar, Memorial Hospital Pembroke, Joe DiMaggio Children’s Health Specialty Center in Wellington, and Memorial Manor nursing home.

Among the many awards and recognition, it has earned are Modern Healthcare magazine’s “Best Place to Work in Healthcare,” Florida Trend’s “Florida’s Best Companies to Work For,” and Becker’s Hospital Review’s “150 Great Places to Work in Healthcare.” In a recent report (“Humanizing Brand Experience”), the Denver-based consulting firm Monigle named Memorial the top health system brand in America, based on consumer surveys.

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