Anthem Blue Cross and HealthCare Partners Saves $4.7 Million in Six Months
The Accountable Care Organization (ACO) formed by Anthem Blue Cross (Anthem) and HealthCare Partners in California produced $4.7 million in savings for the first six months of 2013 compared to a comparison group, Anthem and HealthCare Partners announced today.
These recent results in the Anthem/HealthCare Partners ACO are notable as the program included approximately 55,000 PPO enrollees who have the choice to see doctors outside of the ACO. In contrast, most other high-profile ACO programs that have shown savings in the past are available only to the HMO population, which by definition, already has coordinated care within a limited network. In addition to the savings, participants in the ACO received better care, as measured by the HEDIS benchmarks below:
Metric per 1,000 members Risk-Adjusted Change (Negative percentage is better)
- Hospital Inpatient Days, -18%
- Inpatient Admits, -4%
- Outpatient Visits (including ER visits), -4%
- Radiology Visits, -4%
- Lab Visits, -4%
- Professional Visits, -2%
Quality Measures (Positive percent: positive is better)
- Diabetes LDL, +7.5%
- Cholesterol Mgmt. for Heart Disease Patients, +3.8%
