Is Your Doctor Providing the Quality Care You Need?

Who We Are

Arizona Care Network is an Accountable Care Organization (ACO), which is a group of doctors and other healthcare providers who share a common vision to:

• Provide high-quality, coordinated care for all their patients
• Meet specific care standards that are set based on proven protocols and measures designed to enhance care quality
• Reward providers who improve population health by meeting those standards
• Avoid unnecessary duplication of services and prevent medical errors

ACOs were established by Medicare to help their members get the right care in the right setting to improve their health and save on healthcare costs. There are now many ACOs across the country.

What Sets Us Apart

ACN is a joint venture of Dignity Health and Abrazo Community Health Network. These two healthcare systems came together to create ACN because they have a vision to:

• Improve population health with high-quality care
• Enhance the patient experience
• Manage the rising cost of care
• Improve provider satisfaction

We call this the “Quadruple Aim” and everything ACN does is measured against how well it supports one or more of these aims.

ACN’s Care Coordination team is another thing that differentiates us from other Accountable Care Organizations. The care coordination team is made up of healthcare insiders who can assist you with a full range of services to support your doctor’s recommendation, leading to an improved overall healthcare experience at a more affordable cost. Eligible patients never receive a bill for care coordination services.

What We Do

ACN’s Care Coordination team works with your doctor to connect you to the care you need to prevent health problems, treat new conditions, and guide you through transitions of care when moving from one healthcare setting to another, like from the hospital, skilled nursing facility, or rehabilitation center back home. These transitions of care can carry a high risk to the patient, because you are changing healthcare teams, likely have new medications, and have new instructions to follow.

Our Care Coordination team gives you individual support from:

• Registered Nurses
  • Offer education, case and disease management, help during discharge and other transitions of care, medication education, collaborative care planning, and cost and barrier analysis
• Patient Navigators
  • Healthcare insiders that help you find the right provider, identify gaps in care, find resources or resolve roadblocks, and promote health literacy so you are better prepared to advocate for your own health
• Social Workers
  • Identify things in your life that impact your health (sometimes called social determinants of health), help you create a plan for discharge and your needs when you are back home, handle complex dynamics, and connect you to the right community resources for transportation, healthy meals or other needs that affect your health
• Behavioral Health Coaches
  • Specialize in the integration of medical and psychosocial needs to better manage your overall health
  • Attend medical and behavioral health appointments with you (if you wish) to make sure you feel able to follow the plans of care from both providers
  • Provide education on how to better manage your health

If your doctor believes you may benefit from additional information, services or support for your care, they may refer you to one of the Care Coordination team members listed above. You can also contact our Concierge to confirm what programs you are eligible to receive.

The Results so Far

ACN works closely with our participating doctors to support the health of their patients. Together, we saw improvements on 13 of 14 designated patient metrics, which resulted in preventing 98 strokes and 39 heart attacks over the prior year. In addition, we noted that patients who participate in care coordination have better health outcomes overall than those who don’t.

ACN’s model includes:

• Supporting doctors with the services and resources they need to identify the patients who need them most
• Helping patients navigate a complex healthcare system
• Building a support system between patients and primary care providers
• Making sure patients are up to date on their tests and screenings. This helps catch any health concerns early, when they are easier and less costly to treat
• Improving quality of care for patients by helping providers deliver the right care to the right patients at the right time, especially for patients living with a chronic illness

This model has been so effective with the Medicare population that many commercial insurance companies also wanted to offer it. ACN now serves more than 300,000 patients that come to us not only from Medicare and Medicaid but also from a wide variety of commercial payers.

Are You Eligible?

If you are a Medicare beneficiary and your primary care provider is part of ACN, you are already eligible for ACN services! We also work with a variety of commercial payers. To find out if your primary care provider is part of ACN or to see if you are eligible for ACN services under your insurance, contact our Concierge at 602.406.7226 or email members@azcarenetwork.org.