EL SEGUNDO, Calif.,
Nov. 17, 2016 /PRNewswire/
-- HealthCare Partners, a division of DaVita Inc. (NYSE: DVA)
and a leading independent medical group in the United States, today announced it has
achieved $1.6 million in savings from
participation in the Enhanced Personal Health Care program (EPHC),
a commercial Accountable Care Organization (ACO) formed by Anthem
Blue Cross (Anthem). Savings were achieved from July 1, 2014 through June
30, 2015.
This is the third consecutive year the companies have jointly
achieved savings through Anthem's ACO programs. In addition to the
EPHC, HealthCare Partners participates in a Medicare ACO and other
commercial ACO arrangements.
The EPHC program focuses on fully insured PPO members with two
or more chronic conditions, which research shows can most
effectively be helped through coordinated care efforts. While these
members can see physicians outside of the ACO, HealthCare Partners
offers access to a personalized health team that includes a doctor
and access to its ACO Unit.
"Achieving savings again this year validates that we are a
leader in value-based care," said Chan
Chuang, MD, chief medical officer, HealthCare Partners
California. "The HealthCare Partners coordinated care model focuses
on managing utilization and meeting high quality thresholds. By
transferring these best practices to our PPO patients, we are able
to better care for them while reducing the financial burden."
The HealthCare Partners ACO Unit is a dedicated staff of care
managers and care coordinators who conduct health risk assessments,
identify hospitalized ACO patients, coordinate transitions of care,
and ensure patient care and healthcare resources are accessible.
HealthCare Partners also extends medical management programs to
EPHC program patients, such as disease management, specialized high
risk programs, home care and palliative care programs.
"By keeping patients healthy and thus lowering admission rates,
among other achievements, HealthCare Partners is also able to lower
patients' total out-of-pocket healthcare costs," added Chuang.
The $1.6 million savings were
driven by meeting 100% of the quality thresholds set by Anthem, and
exceeded the Medical Cost Target (MCT) benchmark. Specifically,
together HealthCare Partners was able to lower admission rates,
direct patients to outpatient surgery centers more, and prescribe
appropriate medications while increasing generic drug dispensing
rates.
Some of the notable quality scores achieved by HealthCare
Partners in the EPHC program, as measured against the HEDIS
benchmarks are listed below:
Quality
Measures
|
HealthCare Partners
Baseline
Rate
|
Anthem Quality
Benchmark
|
Diabetes
nephropathy
screening
|
86.45%
|
83.12%
|
Chlamydia
Screening
|
44.44%
|
41.00%
|
Breast cancer
screening
|
73.58%
|
72.71%
|
Pharyngitis
appropriate
testing/pediatrics
|
71.04%
|
68.42%
|
About HealthCare Partners, a DaVita Medical
Group
HealthCare Partners is a division of DaVita Inc., a
Fortune 500® company that, through its operating divisions,
provides a variety of health care services to patient populations
throughout the United States and
abroad. HealthCare Partners manages and operates medical groups and
affiliated physician networks in California, Nevada, New
Mexico, Florida,
Colorado and Washington in its pursuit to deliver
excellent-quality health care in a dignified and compassionate
manner. As of September 30,
HealthCare Partners provided integrated care management for
approximately 750,000 patients. For more information, please visit
HealthCarePartners.com.
Contact Information
Media:
David Tauchen - 303-876-2802
DTauchen@healthcarepartners.com
To view the original version on PR Newswire,
visit:http://www.prnewswire.com/news-releases/healthcare-partners-saves-16-million-in-anthem-blue-cross-enhanced-personal-health-care-program-300364710.html
SOURCE HealthCare Partners