Blue Shield of California ACO provider affiliates have saved more than $325 million in its first five years, a Blue Shield executive said at the 2015 Milken Institute California Summit.
"We have achieved solid results in the first five years of our ACO program, and we are just getting started,” said Kristen Miranda, Blue Shield's senior vice president of strategic partnerships and innovation. “We continue to deepen and refine the work we are doing with our ACO providers to ensure our members receive the right care at the right time and in the right setting, all the while helping to make healthcare more sustainably affordable.”
According to Miranda, its ACO collaborations have been able to reduce hospitalizations by up to 13% and hospital bed days by 27%.
Blue Shield’s first California ACO program was with Dignity Health and Hill Physicians in Northern California, a partnership that still exists.
"The ACO partnership with Blue Shield has achieved more than I originally envisioned," said Rosaleen Derington, chief medical services officer for Hill Physicians Medical Group. "The focus on continuous improvement has made the experience valuable, not only for our patients but also for our physicians."
Today, Blue Cross of California has ACO coverage for 525,000 residents statewide.