MCNT, an affiliate of USMD Holdings, Inc., Selected as a New Accountable Care Organization to Improve Care for Medicare

  MCNT, an affiliate of USMD Holdings, Inc., Selected as a New Accountable
  Care Organization to Improve Care for Medicare Beneficiaries

 More partnerships between doctors and hospitals strengthen coordinated care
                          for Medicare beneficiaries

Business Wire

IRVING, Texas -- December 30, 2013

Medical Clinic of North Texas (MCNT), an affiliate of USMD Holdings, Inc.,
(NASDAQ: USMD), has been selected as one of 123 new Accountable Care
Organizations (ACOs) in Medicare, providing approximately 1.5 million more
Medicare beneficiaries with access to high-quality, coordinated care across
the United States, Health and Human Services (HHS) Secretary Kathleen Sebelius
announced today.

Doctors, hospitals and healthcare providers establish ACOs in order to work
together to provide higher-quality, coordinated care to their patients, while
helping to slow health care cost growth. Since passage of the Affordable Care
Act, more than 360 ACOs have been established, serving over 5.3 million
Americans with Medicare. Beneficiaries seeing healthcare providers in ACOs
always have the freedom to choose doctors inside or outside of the ACO. ACOs
share with Medicare any savings generated from lowering the growth in health
care costs when they meet standards for high-quality care.

“Accountable Care Organizations are delivering higher-quality care to Medicare
beneficiaries and are using Medicare dollars more efficiently,” Secretary
Sebelius said. “This is a great example of the Affordable Care Act rewarding
hospitals and doctors that work together to help our beneficiaries get the
best possible care.”

The ACOs must meet quality standards to ensure that savings are achieved
through improving care coordination and providing care that is appropriate,
safe and timely. The Centers for Medicare & Medicaid Services (CMS) evaluates
ACO quality performance using 33 quality measures on patient and caregiver
experience of care, care coordination and patient safety, appropriate use of
preventive health services, and improved care for at-risk populations.

The new ACOs include a diverse cross-section of healthcare providers across
the country, including providers delivering care in underserved areas. More
than half of all ACOs are physician-led organizations that serve fewer than
10,000 beneficiaries. Approximately one in five ACOs include community health
centers, rural health clinics, and critical access hospitals that serve
low-income and rural communities.

Affordable Care Act provisions have a substantial effect on reducing the
growth rate of Medicare spending. Growth in Medicare spending per beneficiary
hit historic lows during the 2010 to 2012 period, and this trend has continued
into 2013. Projections by both the Office of the Actuary at CMS and by the
Congressional Budget Office estimate that Medicare spending per beneficiary
will grow at approximately the rate of growth of the economy for the next
decade, breaking a decades-old pattern of spending growth outstripping
economic growth.

The next application period for organizations interested in participating in
the Shared Savings Program beginning January 2015 will be in summer 2014.

More information about the Shared Savings Program is available at:

For a list of the 123 new ACOs announced today, visit:

About USMD Holdings, Inc.

USMD is a publicly held (NASDAQ: USMD), physician-led integrated healthcare
system committed to exemplary patient care. Headquartered in Irving, Texas,
USMD serves the Dallas-Fort Worth metropolitan area with more than 250
physicians and associate practitioners, and provides healthcare services to
patients in just under 20 different specialties at its hospitals, cancer
treatment centers and nearly 70 physician clinics. For more information about
USMD, visit


USMD Holdings, Inc.
Megan Reisig, 214-493-4024
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