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CareAllies’ ACO Clients Demonstrate Exceptional Performance in 2020

Meaghan MacDonald , 860-840-1212

Houston, Texas, November 11, 2021 - CareAllies, a Cigna company that collaborates with health care organizations to accelerate their transition to value-based care, today announced that all nine accountable care organizations (ACOs) it works with achieved Merit-Based Incentive Payment System (MIPS) scores of 85 or higher, placing them in the exceptional performance category.

These ACO clients include both hospital and physician-led organizations caring for 160,000 Medicare beneficiaries throughout the country. These organizations were able to achieve successful MIPS scores for the second year in a row through their ongoing partnership with CareAllies, which entails value-based strategy and implementation. Specifically, the physician-led ACOs were able to elevate their scores through a set of comprehensive services CareAllies provides. CareAllies helped these organizations zero in on three key areas:

  • Scheduling annual wellness visits for patients early in the year
  • Reporting accurate risk by fully capturing the patient population’s demographics, health conditions and health spending patterns
  • Ensuring appropriate utilization of home health and nursing facilities throughout the pandemic.

“Value-based care is proving to be the future of health care, as it consistently improves patient health outcomes. This remains a top priority for our ACOs, as demonstrated by their exceptional performances,” said Rob Cetti, CareAllies president. “These results underscore that the long-term strategies CareAllies helps ACOs implement to better engage with and care for patients do help save money and make a difference in patients’ lives.”

In addition to their exceptional MIPS performance scores, these ACOs earned a combined total savings for Medicare of more than $43 million in 2020, collectively receiving nearly $22 million in shared savings and further demonstrating their successful year.

For more information on CareAllies or how it supports the move to value-based care, visit www.careallies.com.

About CareAllies

Ranked the number one value-based care solution for physician organizations from 2018-2021 by Black Book Market Research, CareAllies works closely with physician entities and payers to accelerate the transition to value-based care models and help providers to manage the long-term health of their patients across multiple payers. CareAllies, a Cigna company, has more than 20 years of experience in delivering innovative value-based solutions driven by provider collaboration. CareAllies’ provider engagement capabilities, clinical model, governance support, and analytics and reporting that leverage population health data are just a few of the ways CareAllies works together to optimize patient care and the connections between providers, patients and payers. The CareAllies team works side-by-side with providers around the country to improve health and affordability while enhancing the provider and patient experience, making health care better for everyone. To learn more about CareAllies, including links to follow them on Facebook, LinkedIn or YouTube, visit www.careallies.com.

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