Shared Savings - Performance Year 1

For nearly two decades, DaVita has invested, and continues to invest, in building the infrastructure and capabilities to holistically care for ESRD (End Stage Renal Disease) and CKD (Chronic Kidney Disease) beneficiaries. Our goal is to prepare for a future when integrated care is available to all patients. The ESCOs (ESRD Seamless Care Organizations) are one vehicle in which DaVita provides integrated care to our patients.

Amount of Shared Savings/Shared Losses

Performance Year 1: $1,840,316.00
Performance Year 2: TBD (2018)
Performance Year 3: TBD (2019)

As a participant in CMS’s (Centers for Medicare & Medicaid Services) Comprehensive ESRD Care (CEC) Model, the Phoenix-Tucson ESCO is a joint venture comprised of dialysis facilities, nephrologists, and Banner Health. The Phoenix-Tucson ESCO achieved more than $1M in shared savings in Performance Year 1, which ran from October 2015 through December 2016. The Phoenix-Tucson ESCO returned 100% of the shared savings that it earned to its participant owners, who, in turn, used a portion of those savings to recoup their upfront financial investments in the ESCO venture, including infrastructure for Performance Year 1 and future years. The ESCO participants elected to reinvest any remaining surplus shared savings into redesigned care processes to support ESRD Medicare beneficiaries who are aligned to the ESCO.

As ESCO shared savings continue to grow, and the need for investment declines, the ESCO anticipates that participant owners will be able to retain a portion of shared savings in future performance years.[i]

[i] This statement is based on estimates only and may not reflect the actual performance of the ESCO model; interventions involve multiple activities that could cause actual performance results to differ materially from the outcome estimates.