Effective January 1, 2014, Quality Health Solutions (QHS) will launch an accountable care initiative with a shared savings program to provide coordinated healthcare to individuals enrolled in UnitedHealthcare’s employer-sponsored health plans.
Under the new initiative, the 3,000 physicians and 18 hospitals comprising the five QHS members in southeastern Wisconsin will be rewarded for effectively managing all aspects of patients’ care, providing the right treatment in the right setting at the right time. Collectively, these five systems currently provide care to more than 100,000 UnitedHealthcare plan participants in Wisconsin, totaling $650 million in UnitedHealthcare’s annual physician and hospital reimbursements in the state.
The five participating QHS members are Columbia St. Mary’s, Froedtert Health, the Medical College of Wisconsin, Wheaton Franciscan Healthcare, and Agnesian Healthcare (Fon du Lac County).
“This is a tremendous step forward for QHS members to cooperatively improve population health, positively impact patient experience and effectively reduce medical costs,” said Mark Taylor, CEO, Columbia St. Mary’s. “This is also a perfect example of what I’ve referred to in our Operating Vision meetings as Co-opetition. Although we compete with many of these systems on a daily basis, cooperation in an accountable care organization will help us achieve something larger, something that none of us could achieve on our own.”
For more details on the QHS initiative, click here for an online published article from the Wall Street Journal’s Market Watch.