Population Health Management in an IPA: Monarch HealthCare ACO Pilot Program

In 2009, Brookings–Dartmouth launched its ACO Pilot Program to support four provider groups to form accountable care organizations (ACOs) with health plans and private payers (as opposed to the Medicare government-supported ACO programs now underway). The provider organizations that are participating all agreed to take responsibility for the overall cost and quality of care for their patients, with their private payer partner.

The organizations chosen are Monarch HealthCare, an IPA in Orange County, CA; HealthCare Partners, a medical group/independent practice association (IPA) based in Los Angeles, CA.; Norton Healthcare, an integrated delivery system in Louisville, KY; and Tucson Medical Center, a community hospital working with independent provider groups in Tucson, AZ.

This preliminary case study conducted by the Commonwealth Fund with Brookings-Dartmouth describes Monarch Healthcare’s experience to date and how the IPA is leveraging its expertise in population health management to achieve.


Population Health Management in an IPA: Monarch HealthCare’s ACO Pilot Program

Monarch Healthcare, Irvine, California

In 2009, Brookings–Dartmouth launched its ACO Pilot Program to support four provider groups to form accountable care organizations (ACOs) with health plans and private payers (as opposed to the Medicare government-supported ACO programs now underway). The provider organizations that are participating all agreed to take responsibility for the overall cost and quality of care for their patients, with their private payer partner.

The organizations chosen are Monarch HealthCare, an IPA in Orange County, CA; HealthCare Partners, a medical group/independent practice association (IPA) based in Los Angeles, CA.; Norton Healthcare, an integrated delivery system in Louisville, KY; and Tucson Medical Center, a community hospital working with independent provider groups in Tucson, AZ.

This preliminary case study conducted by the Commonwealth Fund with Brookings-Dartmouth describes Monarch Healthcare’s experience to date. In this report, the researchers discuss the factors that have contributed to the success­ful development of Monarch’s ACO, which include strong executive leadership, trust and transparency in partnerships, the use of care navigators and physician champions, and economies of scale across the IPA’s physician network. Monarch’s long history in managing care through their strong primary care network for their senior population through Medicare Advantage is also cited as being a competency fundamental to ACO development and success.

For the complete report, please click here.

For a complete list of case studies in this Commonwealth Fund series, along with an introduction and description of methods, please click here.

FOR MORE INFORMATION:

Nancy Taylor
Executive Director
Council of Accountable Physician Practices
nancy.taylor@amga-capp.org
www.amga-capp.org

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