“We knew that what got us here wasn’t going to carry us forward.” Slattery said they began to see the ACO, with its triple aim focus - better health, better care and lower costs - as a sustainable model for the group.
With its 13 hospitals and 2,000 physicians, the Mountain States-Integrated Solutions team seems like a natural fit for the ACO healthcare delivery system, which emphasizes care coordination. MSHA already has in place the IT systems that will allow it to capture data on individual patients and follow them through their hospital treatments and physician office visits. Earlier this year it transitioned its 15,000 employees into CrestPoint Health to manage employee health and wellness in a more coordinated manner.
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Slattery said Mountain States expects to invest $4 million to $11 million into AnewCareCollaborative, which will manage the healthcare of an estimated 15,000 Medicare beneficiaries. About half of that money will go toward meeting licensure requirements for taking risk in Tennessee and Virginia. He explained that in aligning physicians and hospitals there “may be some capitation arrangements that will require us to become a payer.”