Managed Care Organization ACO Initiatives; Provider Reimbursement Shift

Managed care organizations’ adoption of accountable care goes well beyond the accountable care organization (ACO) initiatives of caring for the Medicare population.

Health plans see the potential of ACOs in terms of the quality of care and reimbursement models.

Among the managed care organizations partnering with providers to launch ACOs are UnitedHealth Group, Aetna, Humana, Cigna, Highmark and others.

For instance, Cigna is involved in 86 collaborative accountable care initiatives in 27 states. These programs encompass more than 880,000 commercial customers and more than 35,000 doctors, including more than 16,000 primary care physicians and more than 19,000 specialists, Cigna said.

The health plan’s goal is to have 100 accountable care relationships reaching one million customers in 2014.

UnitedHealth Group has ACO initiatives underway in eight states.  And, $28 billion of the Continue reading

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