Hill Physicians Medical Group: A Market-Driven Approach to Accountable Care for Commercially Insured Patients

October 6, 2014

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Overview

Hill Physicians Medical Group—Northern California’s largest independent practice association (IPA)—joined local hospitals and commercial health plans in forming four separate accountable care organizations (ACOs) aimed at improving quality, reducing fragmentation, and lowering the cost of care as a means of retaining business. This profile focuses on the first and largest ACO, which was established in January 2010 to reduce premiums for 41,000 public sector employees and retirees covered by the California Public Employees’ Retirement System (CalPERS). The ACO has decreased hospital use and per-member per-month spending in its first three years, resulting in $59 million in savings to CalPERS or $480 per member per year. Leaders credit success to developing a mutual understanding of one another’s strengths and challenges, which was a prerequisite for improving care coordination, increasing patient education, and reducing unwarranted variations in care.

Publication Details

Publication Date:

October 6, 2014
Lorber

Editor:

Citation:

A. Cohen, S. Klein, and D. McCarthy, Hill Physicians Medical Group: A Market-Driven Approach to Accountable Care for Commercially Insured Patients, The Commonwealth Fund, October 2014.

Authors / Experts:

Research Associate / Institute for Healthcare Improvement

Sarah Klein

Editor and Writer

Contact:

McCarthy

Senior Research Director / The Commonwealth Fund

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