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Monarch HealthCare: Leveraging Experience in Population Health Management to Attain Accountable Care


Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved. This case study explores the characteristics of Monarch and its partners, including the insurer Anthem, that have contributed to the development of Monarch's ACO, including: strong executive leadership, trust and transparency in its partnerships, the use of care navigators and physician champions, and economies of scale achieved through the physician network.

Publication Details

Publication Date: January 13, 2012

K. L. Carluzzo, B. K. Larson, A. D. Van Citters et al., Monarch HealthCare: Leveraging Expertise in Population Health Management, The Commonwealth Fund, January 2012.


Health Policy Fellow
Director, Health Policy Implementation
Blue Cross of California Distinguished Professor of Health Policy and Management