With nearly 50 organizations claiming ACO status in Arizona, the market for value-based payment arrangements is accelerating, Medicare is saving and ACO profits are growing within the Medicare Shared Savings Program (MSSP) and the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model.
In 2022...
A snapshot of Arizona hospital-based health systems in Arizona including their size and scope, net profits, net margins, patient revenue, payor mix, quality ratings, partnerships, ACO affiliations, leadership lists, and more. Also included: the latest news on Rural Emergency Hospitals and the complicated financials of nonprofit...
Alignment Healthcare, a Medicare Advantage company, has announced the expansion of its health plan into Maricopa and Pima counties in Arizona in 2022.
In collaboration with Phoenix-based Arizona Care Network, Alignment will reach nearly 1 million Medicare-eligible seniors in the region. Pending regulatory approval, HMO and PPO options...Arizona News
The 2019 data, just released by the Center for Medicare and Medicaid Innovation, shows financial and quality performance results for 37 of the 41 Accountable Care Organizations (ACOs) who participated in Performance Year (PY) 2019 of the Next Generation ACO (NGACO) model, including the Phoenix-based Arizona Care Network.
Four...
A members-only resource including nearly 20 pages of data and insight into Arizona's current ACO and value-based network market activity.
Please remember our Fair Use guidelines. Data editions, newsletters etc. are for individual use only – exceptions for gold or platinum corporate members. For permission to use or...
Conley Cervantes is now the Chief Financial Officer of Arizona Care Network after two years on the ACO’s joint Venture Board. In the last decade, she has led a value-based program strategy and operations for Tenet Healthcare....Arizona Comings & Goings
Trini Taylor was promoted to Director, Key Accounts, Arizona Care Network. She joined ACN in 2018 as Manager, Key Accounts. In her new role, she now serves as the primary liaison for ACN’s value-based account relationships....Arizona News
After rebranding the MSSP to the Pathways to Savings in 2018, CMS reported about 11.2 million Medicare beneficiaries are now served by 517 ACOs participating in the shared savings program, and 200 are taking downside risk.
Only 35 new ACOs joined the revamped Medicare Shared Savings Program (MSSP) in 2020, far below the annual...Arizona Comings & Goings
Todd Ricotta is now the interim CEO of Arizona Care Network replacing Dr. David Hanekom, who retired in August. Hanekom will continue in a consulting role for ACN through the end of October.Arizona News
The partnership means 25,000 patients in Maricopa and Pinal county can use their Care.Wallet to help manage their diabetes.The local ACO is a national leader in the adoption of blockchain technology and along with collaborators Boehringer Ingelheim and Solve.Com, created the Diabetes Care Administration Network mobile application, the...
Our May 2019 newsletter features future changes for Medicare Advantage plans, Arizona healthcare wins within the state’s approved 2020 budget and a comprehensive look at Association Health Plans from Publisher Jim Hammond. The May issue also includes Leapfrog Hospital top safety grades for Arizona hospitals, updates on ACA navigator...
Jennifer Brooks has left her role at Arizona Care Network, she formerly served as the ACO’s executive director of clinical services. Jason Kwan is now ACN’s population health pharmacist. Kwan recently completed his residency at Aetna Medicaid and brings a wide range of experience in community pharmacy and managed care.
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On Dec. 21, CMS reported Medicare Next Generation ACOs produced $129 million in savings in 2017 while earning an average of $3.3 million each in bonuses for beating cost targets and meeting quality benchmarks. We report Arizona Care Network and Optum results.
Nearly 73 percent of Next Generation ACOs received a total of $200.5 million...Arizona News
Insurance is evolving and Minneapolis-based Bright Health is a testament to the confidence shift toward technology-centered insurers. The healthcare startup just closed its largest funding round yet, totaling $200 million, a series C pool of capital that raised more money than expected.
Bright Health may be new in an industry...Arizona News
Get a quick look at the winners and losers in the Medicare Shared Savings Program (MSSP) in performance year 2017.
The big winner again is Scottsdale Health Partners, which managed 25,000 members, saved $46.2 million and earned $19.5 million.
Newcomer Abacus, which manages 28,000 members in Southern Arizona, saved $7.9 million...Arizona News
The accountable care organization is using the lower-risk track as a training ground for its next generation, higher risk track that now serves 25,000 Medicare beneficiaries.
Last week, the Centers for Medicare & Medicaid proposed to phase out Track 1, Track 1+ and Track 2, condensing the Medicare Shared Savings Program (MSSP) to...Arizona Comings & Goings
William (Bill) Conati joins Arizona Care Network as the new senior director of IT. Conati formerly held the same role for Dignity Health Management Services Organization.
Arizona Comings & Goings
Arizona Care Network welcomes Ann Marie Sun M.D. as their new medical director population health. Dr. Sun was formerly the medical director of health plan, utilization management and population health for Banner Health Network.
The accountable care organization, will pilot a blockchain platform developed by Solve.Care with the goal to improve clinical outcomes, relieve administrative burdens and reduce waste.
Blockchain allows information to be automatically updated across all participants of a chain, reducing or eliminating dependence on a centralized...
