WellPoint, Emory partner to create senior-care model
WellPoint is expanding its reach into healthcare with an announcement that the insurer’s subsidiary, CareMore Health System, will partner with the Emory Healthcare Network in Atlanta on a new care model for seniors.
Under the agreement, Emory Healthcare Network plans to implement CareMore’s clinical care model for reducing costs and increasing quality for Medicare Advantage patients. The collaboration will focus on value-based reimbursement and risk-based payment arrangements, while Emory adds more comprehensive care centers similar to CareMore’s facilities.
CareMore already serves nearly 70,000 Medicare members in Arizona, California and Nevada through its health plans, comprehensive care centers and specialized healthcare programs for fall prevention and diabetes monitoring. With 200 provider locations and six hospitals in Georgia, Emory Healthcare Network is the first healthcare provider organization in the area to collaborate with CareMore on this kind of advising initiative, though it isn’t a new concept for some organizations.
The American Academy of Family Physicians has been in the consulting arena since 2005 when it launched
TransforMED, its subsidiary that works with primary-care practices to adopt the medical home model. Last year, TransforMED announced it had received a three-year, $20.8 million grant from the CMS’ Center for Medicare & Medicaid Innovation to help 90 primary-care practices create an improved, lower-cost care delivery network.