10 ACOs to Know

1. Advocate Health Care (Oakbrook, Ill.). Advocate partnered with Blue Cross and Blue Shield of Illinois in Oct. 2010 to form a three-year ACO. Advocate agreed to limit annual increases in return for the opportunity to share in savings resulting from its clinical integration programs. BCBSIL is the largest health insurer in the state, with nearly 7 million members, and Advocate operates more than 250 sites of care, including 10 acute-care hospitals.

2. Atlantic Health (Morristown, N.J.). Non-profit Atlantic Health formed an ACO in Dec. 2010. The system is comprised of two hospitals, and more than 300 physicians were already participating in the ACO program at the time of its announcement. The ACO serves a seven-county area in New Jersey. It expects its ACO to be ready to work with various populations, including Medicare patients, by Jan. 2012.

3. Carilion Clinic (Roanoke, Va.). Carilion announced its formation of an ACO in collaboration with Hartford, Conn.-based Aetna in March. The ACO will result in co-branded commercial healthcare plans for businesses and individuals, new payment models and shared cost savings, and joint opportunities to personalize care needs of patients, including Virginia's Medicaid beneficiaries. Aetna serves approximately 35.3 million people and Carilion serves nearly one million through its hospitals, outpatient specialty centers and advance primary care practices.

4. Catholic Healthcare West (San Francisco). Along with San Ramon, Calif.-based Hill Physicians and Blue Shield of California, CHW launched a program to manage the care of more than 40,000 members of the California Public Employees' Retirement System. The collaboration, which was announced in April 2009 and went live in Jan. 2010, essentially operates as an ACO. CalPERS members who already had a primary care physician affiliated with Hill were automatically enrolled in the program, which aims to improve what providers considered a "disjointed delivery system."

5. Doctors Medical Center (Modesto, Calif.). In June, Doctors Medical Center announced it will launch a three-year ACO with San Francisco-based Blue Shield of California and Modesto-based AllCare Independent Physician Association. The program will cover 8,000 HMO members and will go into effect Jan. 1. Preliminary work is already underway across the three organizations, and is expected to pick up speed in the coming months.

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