Change Healthcare and ACO Partner reported a 26 percent lower 30-day readmission rate for participating providers and a 28 percent reduction in all cause readmission rates than a non-participant cohort in its first year. ACO partner is operated by Change Healthcare and Blue Cross Blue Shield of Arizona.
It is first complete plan year, ACO Partner, an independent physician-centric organization that works with payers, providers, and patients to create value-based care models, also reported that its BCBSAZ shared savings program reported 20 percent fewer admissions and 15 percent fewer emergency department visits. The organization also said that participating providers outperformed cohort in achievement of the program’s Quality Index by 2.7 percent, and drove lower specialty pharmacy spend, decreased imaging utilization, and more High-Efficiency Network (HEN) specialist referrals.
John Wallace, senior vice president at Change Healthcare and president and chief operating officer of ACO Partner explained,
The model deployed in Arizona, with a focus on care coordination and provider engagement, is achieving the value-based care goals we set when we launched. The program is working for providers and payers, but most importantly for members. The shared savings are just one metric, but when you look at the full range of cost and quality measures tracked through the program, you see that it’s creating more primary care access, and better overall healthcare for members.
This summer the ACO Partner program grew to more than 725 providers treating about 45,000 BCBSAZ members.
In its most recent report, the organization celebrated rewards for high performing providers – rated across key cost and quality metrics relative to a non-participating cohort – announcing its award of $1 million to 603 participating providers charged with the care of more than 41,500 members.
Jointly operated by Change Healthcare and BCBSAZ, ACO Partner contracts with independent primary care providers.
The program provides providers the opportunity to earn shared savings and provides them with sophisticated patient data analytics, care coordination, and provider engagement services.
Contracted providers don’t pay a membership fee or service charges to participate.
Blue Cross Blue Shield of Arizona CMO Dr. Woodrow Myers, Jr., was pleased with the report’s results,
We wanted to outperform quality benchmarks and significantly reduce admissions and readmissions among our member population. The results reported for the first full year of operation validate this collaborative approach, and show that working with the resources of Change Healthcare is key to supporting our independent providers, improving care for our members, and controlling inefficient and non-value-added spending.
Read more in the press release from Change Healthcare, ACO Partner
This month, HealthcareITNews also reported on why CarePort Health signed up with Change Healthcare. CarePort Health is a leader in discharge planning and utilization review and is integrating the Change Healthcare InterQual Connect and InterQual AutoReview products into its care management app and workflow.