Dignity Health (San Francisco). Dignity Health was an early ACO adopter. It operated a pilot ACO program in 2009 with Blue Shield of California and San Ramon, Calif.-based Hill Physicians Medical Group for roughly 44,000 state employees. After reducing hospital readmissions by 22 percent and saving $20 million, the program was deemed a success and expanded in 2011 to include UCSF Medical Center and cover San Francisco city and county employees. Kathleen Sebelius, then-secretary of HHS, called the effort "one of the best examples of patient care in the country," in 2011. The trio — Hill Physicians, Dignity and Blue Shield — launched another three-year ACO agreement in 2014 for an additional 14,600 HMO patients in San Joaquin County. Dignity also manages an ACO in collaboration with Dallas-based Tenet Healthcare that includes more than 3,400 providers, called the Arizona Care Network.
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