Life Health Services, LLC ("LHS") is a partnership between two Connecticut-based provider organizations, Middlesex Health System ("Middlesex") and Griffin Health Services ("Griffin"), both which participated as providers in the Medicare Shared Savings Program ("MSSP") from 2013-15 as part of Accountable Care Clinical Service, PC. Middlesex and Griffin have formed a new ACO entity, LHS, to initiate, develop, operate and maintain programs directed toward improving efficiency, effectiveness and cost utilization of health care services while maintaining high quality of care to Medicare patients as part of the Medicare Shared Savings Program. LHS was incorporated as a Connecticut limited liability company on May 20, 2015.

As participating providers in the MSSP, Middlesex and Griffin gained experience meeting the goals of the Three-Part Aim: improving the patient experience of care, improving the health of populations, and reducing the per capita cost of care. Through our previous experience in the MSSP, we developed two community collaboratives with local skilled nursing facilities and home health care agencies to focus on reducing hospital readmissions and lowering sub-acute length of stays in skilled nursing facilities. Monthly collaborative meetings were held with local nursing home administrators and home health agency leaders to review quality and utilization dashboards. Over the past 2 years, we successfully reduced hospital readmissions and lowered sub-acute length of stay for Medicare Part A beneficiaries. Middlesex and Griffin also built their internal data analytics and hired new care management staff to support ACO activities and meet the goals of the MSSP.

Middlesex Hospital is part of the Middlesex Health System and is licensed for 250 beds and has approximately 460 medical staff. Middlesex Hospital serves the primary area service towns of Middletown, Middlefield, Durham, Haddam, Killingworth, Cromwell, Portland, East Hampton, East Haddam, Colchester, Marlborough, Madison, Clinton, Westbrook, Old Saybrook, Essex, Deep River, and Chester. The Middlesex Health System also has free-standing emergency services medical centers located in Marlborough and Westbrook, as well as urgent care centers in Madison, Old Saybrook, and Middletown. Middlesex Health System worked closely with its providers over the past two years to direct patients to its lower cost urgent care locations for immediate treatment for illnesses and injuries not needing a hospital emergency room visit. Griffin Hospital is part of the Griffin Health Services System and is licensed for 160 beds and has approximately 400 medical staff. Griffin Hospital serves the primary area service towns of Derby, Ansonia, Shelton, Seymour, Oxford, and Beacon Falls.

In addition to providing a full complement of acute care services, Middlesex Hospital and Griffin Hospital have developed a number of specialty clinics and programs to address the chronic disease burden in their respective communities. Middlesex Hospital has a comprehensive chronic care program, which includes education and treatment for patients with diabetes, asthma, chronic obstructive pulmonary disease, and heart failure. Griffin Hospital has a heart failure and chronic obstructive pulmonary disease clinic that provides post-discharge education and treatment for all inpatients diagnosed with either chronic disease. Griffin Hospital's affiliation with Vree Health's Transition Advantage Service also provides patients discharged with heart failure, heart attack, pneumonia, and chronic obstructive pulmonary disease a comprehensive 30-day post-acute service to lower hospital readmissions.

LHS has affiliations with Middlesex Hospital and Griffin Hospital, primary care providers affiliated with Middlesex Hospital and Griffin Hospital, specialists employed by the Middlesex Health System and Griffin Health Services System, local skilled nursing facilities, and home health care providers. Middlesex Hospital has 15 primary care physician offices affiliated with it through the proposed Shared Savings ACO. Griffin Hospital has 14 primary care physician offices affiliated with it through the proposed Shared Savings ACO. The infrastructure of the hospitals and the physician groups will support health care providers with use of beneficiary health utilization and cost information to manage patients across the continuum of care. Providing a foundation for our participating members to assist in the transition from a fee for service model, a business model focused on volume, to a model focused on population health.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE(1-800-633-4227) TTY users should call 1-877-486-2048.