What You Should Know:
– inVio Health Network and CVS Accountable Care Organization, a division of CVS Health, have announced a collaboration to participate in the new Medicare Accountable Care Organization (ACO) REACH program. This initiative focuses on improving access to high-quality healthcare for traditional Medicare beneficiaries in South Carolina.
– The collaboration builds upon the past achievements of Prisma Health Upstate and Prisma Health Midlands Networks, which merged in 2021 to form inVio Health Network. These entities have a proven track record of success in the Medicare Shared Savings Program (MSSP), another CMS program. Through MSSP, they have demonstrably reduced healthcare costs while maintaining exceptional quality of care for over 60,000 Medicare beneficiaries.
REACH Program: Reducing Barriers and Improving Outcomes
The REACH program from the Center for Medicare & Medicaid Innovation (CMMI) aims to address healthcare disparities. Participating ACOs like the newly formed collaboration between inVio and CVS will work towards:
- Reduced Barriers to Care: The program seeks to eliminate obstacles that prevent patients from receiving necessary medical attention.
- Coordinated Care: A focus on ensuring patients receive well-coordinated care across different healthcare providers.
- High-Quality Patient-Centered Care: Prioritizing patient needs and preferences to deliver exceptional medical care.
- Improved Overall Health and Satisfaction: The ultimate goal is to improve patients’ health, clinical outcomes, and overall satisfaction with their Medicare coverage.
Enhancing High Quality Patient Care
inVio Health Network, a leading physician-led network in the Southeast, brings deep local knowledge and a commitment to high-quality patient care. CVS Accountable Care contributes its extensive experience and resources. Together, they will leverage this combined expertise to:
- Enhance Care Coordination: Advanced analytics will be used to streamline care coordination for patients, ensuring they receive seamless treatment across different providers.
- Value-Based Care and Population Health Management: The collaboration will implement key programs and resources focused on value-based care and population health management. This data-driven approach allows for proactive care and improved health outcomes for the entire patient population.
- Longitudinal Care Management: The focus will be on providing patients with consistent and comprehensive care throughout their healthcare journey.
“We are on a collaborative value-based journey with our physicians and healthcare clinicians to improve the quality and health across South Carolina, regionally, and nationally,” said Dr. Bill Gerard, CEO of inVio Health Network, “This new model allows us to provide enhanced resources and clinical services across our network where we will be collaborating with MinuteClinic locations across South Carolina to be part of our network’s ACO REACH program. We look forward to the incredible opportunities ahead as we transform healthcare together.”
