This is an excerpt from the Industry Insight Report, Deep Dive: Challenges, Successes and Outlook of Three Clinically Integrated Networks. Download the full report here.
St. Vincent’s Health Partners (SVHP), based in Bridgeport, Conn., became the first CIN in the country to achieve URAC Clinical Integration accreditation in 2014, and the first CIN to achieve re-accreditation in 2017.
SVHP includes more than 400 independent and employed primary and specialty care providers across 85 practice sites, a flagship local hospital and five skilled nursing facilities (SNFs), and four home health agencies and hospices. Building trust throughout their provider network is fundamental to SVHP’s pursuit of cohesive, patient-centered care.
“By being extremely aware of what the anticompetitive and antitrust laws entail,” said Dr. Michael Hunt, CEO and President of SVHP, “we can accurately communicate to our stakeholders our level of commitment and thus earn their trust in the clinically integrated network.”
SVHP’s recent CIN successes include:
- A 70 percent drop in inappropriate emergency room utilization for one employer group
- A 25 percent drop in a commercial patient population during the same time period
- Recouping a $1 million loss from the Bundled Payment Care Initiative program, and projecting a $1 million surplus, and opportunity to gainshare
- Approximately $3 million in savings generated for four employer groups over a one-year period.
- Substantial reduction in the total cost spent on the most acute, high-risk patients among SVHP’s employer groups compared to other employer groups
For the full report, including the learnings and successes of St. Vincent’s Health Partners, Phoenix Children’s Care Network and Catalyst Health Network, click here.
For more information on URAC’s Clinical Integration Accreditation, email email@example.com or call 202-326-3943.