Here are 10 providers that have recently formed accountable care organizations, beginning with the most recent.
1. Anthem Blue Cross, Sharp Community Medical Group and Sharp Rees-Stealy Medical Centers — all based in San Diego — will pilot an ACO. The ACO, for select Anthem PPO members, will emphasize coordination of care among providers, focusing on preventive care and chronic care management.
2. Morristown, N.J.-based Atlantic Health formed an ACO with more than 300 participating physicians. Atlantic Health is one of the largest non-profit health systems in New Jersey, operating Overlook Hospital in Summit, N.J., and Morristown Memorial Hospital.
3. Blue Shield of California is teaming with five healthcare providers to form two ACOs, which begin July 1 to benefit HMO members of the San Francisco Health Service System. Blue Shield, Brown and Toland Physicians Group and California Pacific Medical Center will form one ACO to serve 21,000 HSS members assigned to Brown and Toland. California Pacific Medical Center's four campuses — California, Davies, Pacific and St. Luke's — are included in this ACO.
4. Roanoke, Va.-based Carilion Clinic and Hartford, Conn.-based Aetna have collaborated to form an ACO. As an ACO, Carilion would buy administrative services through Aetna and Aetna would become the administrator of Carilion's employee health benefits plan. However, Carilion Clinic will continue to participate in existing health plan provider networks and accept Aetna and other private insurance plans.
5. Mishawaka, Ind.-based Franciscan Alliance announced it formed an ACO to improve care delivery and reduce medical costs. Catholic Franciscan Alliance operates 13 hospitals in Indiana and Illinois and employs more than 550 physicians.
6. Middletown, Conn.-based Medical Professional Services — a group of over 400 physicians — plans to join with other physician groups and hospitals to form an ACO. The ACO plans to cut costs by evaluating doctors' performance, patient satisfaction, and MPS' strategies. The group will use one system of electronic records to integrate care.
7. Montefiore Medical Center in New York City expanded its contract with insurer EmblemHealth to explore an ACO. As part of the agreement, Montefiore will explore arrangements for EmblemHealth’s fee-for-service patient population among the lines of an ACO. The contract commits the parties to launch projects that improve quality and cut healthcare costs.
8. Louisville, Ky.-based Norton Healthcare and insurer Humana joined to create the first ACO in the Louisville area. The ACO is expected to include approximately 10,000 Humana members, whose employers have agreed to participate in the pilot.
9. Dearborn, Mich.-based United Outstanding Physicians, a physician organization with more than 1,000 physicians, launched an ACO. The ACO has designated 1,020 shares of stock to 720 physicians. Primary care physicians received two shares of the stock, while specialty physicians received one share. Sixty thousand other shares remain available and will either be retained by the company or made available to new physicians. The organization has approached several local health systems to provide inpatient care for patients assigned to its ACO.
10. Two independent practice associations in New Jersey — VISTA Health System in Summit and Central Jersey Physician Network — will form an ACO called Optimus Healthcare Partners. The ACO will enroll physicians from the combined 650 physician membership of VISTA and CJPN before expanding throughout the state to include other physician groups. Both IPAs will continue as separate operations as well.
1. Anthem Blue Cross, Sharp Community Medical Group and Sharp Rees-Stealy Medical Centers — all based in San Diego — will pilot an ACO. The ACO, for select Anthem PPO members, will emphasize coordination of care among providers, focusing on preventive care and chronic care management.
2. Morristown, N.J.-based Atlantic Health formed an ACO with more than 300 participating physicians. Atlantic Health is one of the largest non-profit health systems in New Jersey, operating Overlook Hospital in Summit, N.J., and Morristown Memorial Hospital.
3. Blue Shield of California is teaming with five healthcare providers to form two ACOs, which begin July 1 to benefit HMO members of the San Francisco Health Service System. Blue Shield, Brown and Toland Physicians Group and California Pacific Medical Center will form one ACO to serve 21,000 HSS members assigned to Brown and Toland. California Pacific Medical Center's four campuses — California, Davies, Pacific and St. Luke's — are included in this ACO.
4. Roanoke, Va.-based Carilion Clinic and Hartford, Conn.-based Aetna have collaborated to form an ACO. As an ACO, Carilion would buy administrative services through Aetna and Aetna would become the administrator of Carilion's employee health benefits plan. However, Carilion Clinic will continue to participate in existing health plan provider networks and accept Aetna and other private insurance plans.
5. Mishawaka, Ind.-based Franciscan Alliance announced it formed an ACO to improve care delivery and reduce medical costs. Catholic Franciscan Alliance operates 13 hospitals in Indiana and Illinois and employs more than 550 physicians.
6. Middletown, Conn.-based Medical Professional Services — a group of over 400 physicians — plans to join with other physician groups and hospitals to form an ACO. The ACO plans to cut costs by evaluating doctors' performance, patient satisfaction, and MPS' strategies. The group will use one system of electronic records to integrate care.
7. Montefiore Medical Center in New York City expanded its contract with insurer EmblemHealth to explore an ACO. As part of the agreement, Montefiore will explore arrangements for EmblemHealth’s fee-for-service patient population among the lines of an ACO. The contract commits the parties to launch projects that improve quality and cut healthcare costs.
8. Louisville, Ky.-based Norton Healthcare and insurer Humana joined to create the first ACO in the Louisville area. The ACO is expected to include approximately 10,000 Humana members, whose employers have agreed to participate in the pilot.
9. Dearborn, Mich.-based United Outstanding Physicians, a physician organization with more than 1,000 physicians, launched an ACO. The ACO has designated 1,020 shares of stock to 720 physicians. Primary care physicians received two shares of the stock, while specialty physicians received one share. Sixty thousand other shares remain available and will either be retained by the company or made available to new physicians. The organization has approached several local health systems to provide inpatient care for patients assigned to its ACO.
10. Two independent practice associations in New Jersey — VISTA Health System in Summit and Central Jersey Physician Network — will form an ACO called Optimus Healthcare Partners. The ACO will enroll physicians from the combined 650 physician membership of VISTA and CJPN before expanding throughout the state to include other physician groups. Both IPAs will continue as separate operations as well.