Accountable Care

Cigna and MSK Start Value-Based, Coordinated Cancer Care Program

August 5, 2019 - Cigna and Memorial Sloan Kettering (MSK) Cancer Center are collaborating to provide members with value-based, coordinated cancer care, Cigna announced. “We’re pleased to partner with Memorial Sloan Kettering as we expand our collaborative care programs,” said Dave Kobus, president for Cigna's New York and New Jersey markets....


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Blue Cross of NC, Major Health Systems Partner for Value-Based Care

by Jennifer Bresnick

Blue Cross and Blue Shield of North Carolina has launched Blue Premier, a new value-based care model that increases accountability for participating providers and their accountable care organizations...

UnitedHealthcare Assists Phoenix Children’s Value-Based Care Goals

by Thomas Beaton

UnitedHealthcare and Phoenix Children’s Care Network (PCCN) have launched an accountable care program aimed at a lowering costs and improving care quality. UnitedHealthcare will share data with...

Anthem Blue Cross Engages in Medicare Advantage Risk-Sharing

by Thomas Beaton

Anthem Blue Cross and America's Health Plan (AHP) have announced a risk sharing partnership aimed at improving services for Medicare Advantage beneficiaries in California. AHP and Anthem view the...

Guides Help Employers Decide on Accountable Care Organization Use

by Thomas Beaton

The National Business on Health Group (NBHG) has released two comprehensive guides to help employers evaluate the pros and cons of using accountable care organizations (ACOs). Both resources are part...

Understanding the Basics of Accountable Care Organizations

by Jesse Migneault

Accountable care organizations (ACOs) are provider-based networks which utilize data analytics and population health management strategies to increase efficiency, improve patient outcomes, and reduce...

Can Value-Based Purchasing Work with Pharmaceutical Companies?

by Thomas Beaton

The Network for Excellence in Health Innovation (NEHI) believes that developing value-based purchasing contracts between payers and pharmaceutical companies will be a critical next step for healthcare...

Should Accountable Care Organizations Include Social Services?

by Vera Gruessner

While government agencies, healthcare payers, and medical organizations put their efforts and hopes in advancing accountable care organizations (ACOs), these healthcare delivery reforms lack...

Highmark Partners with Aledade’s Accountable Care Organizations

by Vera Gruessner

In December 2016, Aledade Inc., a leader of accountable care organizations (ACOs), and Highmark Blue Cross Blue Shield announced in a company press release a new partnership to provide quality medical...

UnitedHealthcare Partners with Accountable Care Organizations

by Vera Gruessner

In December, UnitedHealthcare announced in a company press release the release of NexusACO, a new health plan option for self-funded employers that is available in 15 markets. Tier 1 of NexusACO...

Key Steps for Payers to Improve Population Health Management

by Vera Gruessner

In recent years, population health management has become a larger factor in the success of a health insurance company. With more payers transitioning to value-based care reimbursement platforms, the...

UnitedHealth Releases Accountable Care Organization Coverage

by Vera Gruessner

On December 7, UnitedHealthcare announced in a company press release the introduction of the NexusACO, which is a new health plan product that allows consumers to obtain care from accountable care...

How Payers Could Succeed in ACA Health Insurance Exchanges

by Vera Gruessner

State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan...

Population Health Vital for Medicare ACO Models to Succeed

by Vera Gruessner

Accountable care organizations (ACOs) have taken on a larger role in delivering services throughout the continuum of care. Initially, these establishments were created under the Medicare Shared Savings...

How to Strengthen Accountable Care Organizations, MSSP

by Vera Gruessner

Accountable care organizations (ACOs) continue to gain greater acknowledgement within the healthcare industry as the field transitions to value-based care reimbursement and moves away from the...

Why Accountable Care Organizations May not Succeed in MSSP

by Vera Gruessner

Do accountable care organizations (ACOs) truly save costs for the healthcare industry? Or is forming an ACO in hopes of cutting spending a pipe dream? Last year’s results from the Medicare Shared...

Top 3 Ways Accountable Care Organizations Could Garner Savings

by Vera Gruessner

Payers and providers looking to operate through an accountable care organization (ACO) will need to adhere strictly to state and federal laws regarding the development of this model of care....

Service-Based Organization Strengthens Population Health

by Vera Gruessner

Blue Cross Blue Shield of Arizona (BCBSAZ) has recently partnered with McKesson Business Performance Services to form a service-based organization called ACO Partner meant to function in the...

Commercial Accountable Care Organizations Denied Tax Exemption

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) has undergone significant reforms in recent years in order to reduce wasteful healthcare spending and improve patient health outcomes around...

Primary Care Payment Reform Targeted in Multi-Payer Initiative

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) are renovating how primary care is delivered throughout the United States. According to a news release from the agency, CMS is launching a program...