Tennessee's Insurance Commissioner Julie McPeak fears the state's Affordable Care Act exchange may collapse after insurance regulators approved major rate hikes for insurers, reports The Tennessean.
Public Health
Humana will not sell individual health plans on Utah's government exchange next year, reports Salt Lake Tribune.
Insurers in swing states are requesting some of the steepest premium increases for 2017 Affordable Care Act plans, a move that could give Republican senators who want to see the ACA repealed a leg up in the upcoming election, according…
CMS on Thursday released the 2015 quality and financial results for its Pioneer and Medicare Shared Savings Programs. Despite that less than a third of ACOs earned shared savings payments, the data suggests Medicare ACOs are improving over time in…
Franciscan Alliance (Mishawaka, Ind.). Franciscan Alliance launched an ACO with Anthem Blue Cross and Blue Shield of Indiana in July 2014 that covered 60,000 patients. Within its first full year, the ACO generated nearly $22 million in cost savings and…
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Essentia Health (Duluth, Minn.). Essentia Health launched a Medicare Shared Savings Program ACO in July 2012, and within a year it became one of the first six ACOs in the nation to earn Level 2 ACO designation from the National…
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…
Delaware Valley ACO (Villanova, Pa.). Delaware Valley ACO joined the Medicare Shared Savings Program in 2014, and in its first performance year saw significant success. Of 333 ACOs in the program, DVACO ranked among the top 10 for shared savings,…
DeKalb PHO (Decatur, Ga.) The nonprofit DeKalb Physician Hospital Organization has seen a flurry of ACO activity so far this year. Most recently, DeKalb PHO entered into ACO contracts with commercial payers UnitedHealthcare and Humana. It already operates a collaborative…
Deaconess Care Integration (Evansville, Ind.). Deaconess Care Integration got its start with Medicare ACOs in 2012 when it joined the Medicare Shared Savings Program. The ACO included primary care physicians from across the six-hospital Deaconess Health System. Based on its…