Arizona Care Network serves as the provider network for several insurance plans that are available to Arizona residents.
ACN entered its first contract with Medicare in 2013 as part of the Medicare Shared Savings Program (MSSP). Following the success of that contract, ACN has expanded its contracts with the government, developed new products with commercial payers, and forged relationships with self-funded businesses to create direct-to-employer products.
Types of Insurance Products
In 2012, the Centers for Medicare & Medicaid Services (CMS) launched the Medicare Shared Savings Program to address the rising cost of care by incentivizing providers to focus on value over volume. The program offers accountable care organizations the opportunity to coordinate care for Medicare beneficiaries and share in potential cost savings if certain quality measures were met.
The government launched a new opportunity for ACOs in 2016 called the Next Generation ACO (NGACO), a Medicare model that has predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards of care. It also requires ACOs to shoulder a greater burden of risk.
ACN’s current government contracts include:
Medicare Shared Savings Program (expiring January 2019)
Next Generation ACO
Mercy Care Plan (Medicaid)
Like the federal government, commercial payers also need to address the rising cost of care. By partnering with an ACO like Arizona Care Network, commercial payers can offer affordable insurance products where the provider network is incentivized to deliver quality care at a lower cost, which benefits the patient, the payer, and the provider.
ACN entered several value-based contracts with commercial payers including:
ACN Direct Connect™
Self-funded businesses can work directly with provider networks like ACN to offer more affordable options to their employees. In this type of partnership, health plans are outcome-oriented and designed to produce a healthier, more productive workforce. Direct-to-Employer insurance products are an attractive option because they give employers a seat at the table. It’s a collaborative approach addresses the specific needs of the company and its employees.