Florida Blue and Tampa Bay Integrated Health Network said they formed the first physician-only accountable care arrangement in the state.  In a statement, Florida Blue said it has launched 19 commercial accountable care partnerships with health systems and physician groups in Florida, more than any other statewide. The insurer covers four million lives in Florida.

Cigna and Regional Cancer Care Associates of Hackensack, New Jersey launched a value-based care agreement for patients receiving chemotherapy. RCCA said it will dedicate a registered nurse or an advanced care practitioner as an added care coordinator and will use COTA Inc. to track analytics. RCCA os one of the largest oncology physician networks in the United States, treating 240,000 patients each year at 25 sites across New Jersey.

Cigna will also add a dedicated coordinator to work with RCCA. Under terms of the agreement, Cigna will pay a one-time payment per patient receiving chemotherapy to cover the costs of coordinated care. Cigna said it intends to have up to eight value-based cancer care agreements in place by year-end, with its next launch in Florida.

In April, Cigna announced three other accountable care agreements under its Collaborative Care Initiative brand with three Texas physician groups: Dallas Methodist Physician Network, Genesis Accountable Physician Network and Catalyst Health Network. The company also said it formed a Collaborative Care agreement with Chicago-based Northwestern Medicine Physician Partners, bringing its total commercial ACO count to 123 agreements in place. Aligning dedicated care coordinators is the foundation of the initiative.

Aetna and CHI Health launched the first product-based commercial ACO to employers in Nebraska called Aetna Whole Health—CHI Health Accountable Care Network. Aetna said its members will receive “highly coordinated care” through UniNet, a clinically integrated network run by CHI Health, through 2,500 physicians and 13 hospitals. Self-insured companies in the Omaha metro area can begin offering the product on June 1; in 2016, fully-insured plans will be offered in Iowa and Nebraska and self-insured plans in Iowa.

According to the company, 30 percent of Aetna nationwide claims go to doctors who practice value-based care and it expects to have 50 percent by 2018 and 75 percent by 2020. In Nebraska, 16 percent of its patients are served through value-based agreements and intends to have more than 25 percent covered by the end of the year. Aetna markets its commercial agreements under the Aetna Whole Health and Accountable Care Solutions brands.

Aetna previously said it formed an ACO with Atlanta-based Emory Healthcare, the largest health system in Georgia. Emory Healthcare includes five hospitals, two specialty hospitals, a clinic and clinically integrated physician network. The two organizations have managed a patient-centered medical home model since 2011.

UnitedHealthcare and Palo Alto Medical Foundation signed an agreement to create an ACO for 63,000 beneficiaries in employer-sponsored health UnitedHealthcare plans. Sutter Health-owned PAMF will shift to a value-based, shared savings model for its group of more than 500 physicians. According to the payer, the agreement is one of 250 it expects to launch this year and currently has 520 active accountable care programs in place.

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