Recent news and press releases of the Delaware Valley ACO
(Radnor, PA – June 8, 2016) — Katherine Schneider, MD, President of the Delaware Valley Accountable Care Organization (DVACO), has been recognized as one of the most powerful women in healthcare technology by Health Data Management. Dr. Schneider was chosen as one of the “Provider/Payer Executives” honorees and was one of 75 women to receive this honor. She received the award at the Most Powerful Women in Healthcare IT event held last month in Boston. The program honored award winners and offered professional development, mentoring and networking for women in the industry.
“I am honored to be recognized amongst a group of women who are truly leaders in the IT field,” said Dr. Schneider. “The health care industry is undergoing a dramatic transformation and IT innovations are providing the foundation for new care models and producing key information at the right time, all to benefit the patients and communities we serve.”
The DVACO is a limited liability company that is owned in part by Main Line Health. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service model, a business model focused on volume, to a model focused on population health. Dr. Schneider has been leading the DVACO since 2014. She provides leadership, strategic direction and management for all aspects of the organization.
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System Director of Communications
BLUE BELL, Pa., Feb. 2, 2016 – Aetna (NYSE: AET) today announced that it has signed an accountable care organization (ACO) agreement with Delaware Valley Accountable Care Organization (DVACO), offering commercial customers in Southeastern Pennsylvania a health care model designed to improve quality, efficiency and the patient experience.
The DVACO’s member hospitals and physicians provide care under a value-based, patient-centric model of health care delivery that is focused on keeping people healthy. The agreement with Aetna is anticipated to include approximately 70,000 current Aetna commercially insured members who are under the care of DVACO-affiliated primary care physicians.
“This is an exciting development for Aetna and its members in Southeastern Pennsylvania,” said Laurie Brubaker, president of Aetna’s operations in Pennsylvania, West Virginia and Delaware. “We’ve been building value-based relationships with physicians in Pennsylvania for the past couple of years, and we’re delighted to work with DVACO to improve care and the patient experience for our members.”
“This collaboration with Aetna comes on the heels of our very successful first year in the Medicare Shared Savings Program and allows us to expand our ability to positively transform health care delivery in the greater Philadelphia area,” said Katherine Schneider, M.D., M.Phil., FAAFP, president and CEO at Delaware Valley ACO. “At DVACO, our primary focus is to deliver a valuable experience to our communities through high-quality care and effective coordination between health care providers and this innovative collaboration with Aetna will extend our population health capabilities to benefit non-Medicare commercially insured residents in our region.”
“I, and many of my physician colleagues, are excited for this partnership with Aetna that will ultimately extend our ability to transition even more patient visits to value-based care,” explained Dr. William Greer, primary care physician and DVACO Board member. “This new relationship is another step forward in transforming our health care model to one that focuses on maintaining ongoing relationships with our patients to keep them well and proactively promote their health, in addition to caring for them when they are sick.”
The agreement is part of Aetna’s strategy to transition from fee-for-service reimbursement to value-based payment. Value-based arrangements are emerging as a solution to address rising health care costs, reduce duplication of services, improve health outcomes, and make it easier for people to get the care they need. In value-based models, doctors and hospitals are paid for helping keep people healthy and for improving the health of those who have chronic conditions in an evidence-based, cost-effective way.
The ACO model is designed to offer:
- More coordinated, team-based care among doctors and other care providers;
- Enhanced patient experience through best-in-class care management programs and technology that delivers information to all providers;
- Better health care outcomes.
The agreement features a new payment model that rewards physicians for meeting certain measures designed to improve quality, lower costs and improve patient satisfaction. Examples include reducing potentially avoidable hospital admissions and emergency-room visits, and increasing appropriate cancer screenings and comprehensive diabetes care. Aetna provides health benefits to nearly 1.4 million members in Pennsylvania.
About Delaware Valley Accountable Care Organization:
The Delaware Valley Accountable Care Organization (DVACO)–the largest and most successful ACO in the greater Philadelphia region, operating under the Medicare Shared Savings Program (MSSP)– is a limited liability company owned by Main Line Health, Jefferson Health, Holy Redeemer Health System, Doylestown Health, and Magee Rehabilitation Hospital. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service model, a business model focused on volume, to a model focused on value-based care and population health. DVACO operates under the Medicare Shared Savings Program (MSSP). For more information please visit www.dvaco.org.
Aetna is one of the nation’s leading diversified health care benefits companies, serving an estimated 46.5 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services, workers’ compensation administrative services and health information technology products and services. Aetna’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com and learn about how Aetna is helping to build a healthier world. @AetnaNews
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As partnership enters its second year, results show improved health measures
PHILADELPHIA & LOUISVILLE, Ky. – December 14, 2015 – Delaware Valley ACO (DVACO), one of the largest Medicare shared savings programs in the U.S., and Humana (NYSE:HUM), a leading health and well-being company, announced favorable results stemming from their year-old partnership. Since 2014, Humana members cared for through the value-based agreement with DVACO have experienced a ten percent increase in medication therapy adherence and a four percent increase in disease management program participation.
In addition, the relationship expanded to include 22 additional physician practices last month, including Abington Health (now part of Jefferson Health), making the value-based health care model now available to 8,200 Humana Medicare Advantage members in the Delaware Valley.
Value-based health care is a new and growing health care model that emphasizes primary care, quality and a more coordinated care experience for patients. The approach, also called accountable care, features tools and information to help primary care physicians and health systems better manage the overall health of the people they care for.
“Seeing gains in drug adherence and disease management participation is important,” explained Eric Bohannon, Vice President of Humana Medicare Products in Pennsylvania. “These early indicators show that value-based care is doing what it’s supposed to: shift our health care system toward a more proactive, coordinated approach.”
The partnership gives Humana members in-network access to DVACO’s integrated health systems, featuring Jefferson Health, Main Line Health, Holy Redeemer Health System, and Magee Rehabilitation Hospital. For 2016, DVACO features 667 primary care physicians in five counties.
“At DVACO, we are strongly committed to forming partnerships that will expand our ability to provide coordinated, high quality health care across the care continuum to the communities we serve,” said Katherine Schneider, M.D., M.Phil., FAAFP, president and CEO at Delaware Valley ACO. “We are delighted to build on our 2014 success with Humana. They have brought expertise and resources to the partnership that have allowed us to accelerate the shift to value-based care for the Medicare Advantage population for our participating hospitals and physicians.”
The value-based health care model reflects a shift away from the current episodic health care model to a value-based model that emphasizes quality and better patient care experiences. The accountable care approach aligns DVACO’s and Humana’s complementary population health capabilities, including chronic disease management, wellness programs and data analytics to help predict and avert serious health events.
“The growing trend toward value-based care here in Southeast Pennsylvania is an important shift in the way our health care system works,” said Bohannon. “We now have the tools to help doctors spend more time with their patients and create long-term health in addition to treating sickness.”
The expanded Humana-DVACO agreement includes value-based incentives tied to performance improvement and quality outcomes, emphasizing standard measures defined by the National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS), including breast cancer screening, colorectal screening, comprehensive diabetes care, and high-risk medications.
Humana has a 30-year accountable care relationship history. The company has 1.6 million individual Medicare Advantage members and 200,000 commercial members today that are cared for by approximately 44,000 primary care physicians, in more than 900 value-based relationships across 43 states and Puerto Rico..
About Delaware Valley ACO
The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health, Jefferson Health, Holy Redeemer Health System, Doylestown Health, and Magee Rehabilitation Hospital. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service model, a business model focused on volume to a model focused on population health. DVACO operates under the Medicare Shared Savings Program (MSSP) and is currently the region’s largest Medicare ACO. For more information please visit www.dvaco.org.
Humana Inc., headquartered in Louisville, Ky., is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people we serve across the country.
More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:
- Annual reports to stockholders;
- Securities and Exchange Commission filings;
- Most recent investor conference presentations;
- Quarterly earnings news releases;
- Replays of most recent earnings release conference calls;
- Calendar of events; and
- Corporate Governance information.
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Humana Corporate Communications
Delaware Valley ACO experiences significant success after first year of participation
The Centers for Medicare & Medicaid Services today issued 2014 quality and financial performance results showing that more Medicare Accountable Care Organizations (ACOs) continue to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers.
When an ACO demonstrates that it has achieved high-quality care and effectively reducing spending of health care dollars above certain thresholds, it is able to share in the savings generated for Medicare. In 2014, 20 Pioneer and 333 Shared Savings Program ACOs generated more than $411 million in savings, which includes all ACOs savings and losses. The results also show that ACOs with more experience in the program tend to perform better over time.
Medicare ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to provide coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO exceeds quality and financial thresholds – demonstrating achievement of high-quality care and wiser spending of health care dollars – it is able to share in the savings generated for Medicare.
Delaware Valley ACO (DVACO) was one of the ACOs that generated shared savings.
“We at DVACO are very pleased with this early validation of our commitment to moving the business model of health care from one strictly based on volume to one based upon value, ultimately improving health outcomes and the patient care experience,” said Katherine Schneider, MD, President and CEO of DVACO. “These early results speak to the challenging transformational work that has been taking place in our hospitals and physician practices—all with a focus on delivering superior care at a sustainable cost for our regional economy and the communities we serve. On behalf of the entire DVACO team, I extend my deepest gratitude to our member physicians for their work thus far, and I am looking forward to continuing our partnership as we make significant progress in this complex transition to value-based care.”
Visit the Medicare Shared Savings Program News and Updates webpage to access the HHS press release and fact sheet, the link to the Performance Year 2014 results file, and to learn more about the program.
About Delaware Valley ACO
The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health, Jefferson University and Hospitals, Holy Redeemer Health System, Doylestown Health, and Magee Rehabilitation Hospital. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service model, a business model focused on volume to a model focused on population health. DVACO operates under the Medicare Shared Savings Program (MSSP) and is currently the region’s largest Medicare ACO. For more information please visit www.dvaco.org.
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Leading Accountable Care Organization will rely on Wellcentive solutions for population health, quality initiatives and advanced care management
ATLANTA—Aug. 3, 2015—Wellcentive, the leader in population health management and value-based care solutions, announced that it has signed a five-year agreement to deliver products, services and expanded care management capabilities for the Delaware Valley Accountable Care Organization(DVACO)—one of the largest Medicare Shared Savings Program ACOs in the U.S. Wellcentive will support DVACO’s mission to improve the health of its populations and streamline their transition to value-based reimbursement models.
DVACO is a consortium founded and owned by five innovative Philadelphia-area health systems— Thomas Jefferson University Health System , Main Line Health®, Doylestown Health, Holy Redeemer Health System and Magee Rehabilitation Hospital—that recognized the need for collaboration to transform care delivery and adopt value-based reimbursement. The ACO currently covers around 65,000 Medicare beneficiaries, and is expected to grow significantly in the coming years. In addition to its Medicare Shared Savings Program contract, the ACO is preparing to extend its value-based approach to other payers and purchasers.
“We are looking forward to partnering with Wellcentive as DVACO continues to make significant progress in this complex transition to value-based care,” said Katherine Schneider, M.D., M.Phil., FAAFP, president and CEO at Delaware Valley ACO. “As our organization continues to grow and evolve, our ability to implement data driven processes to actively manage our populations and control costs is absolutely critical. Wellcentive demonstrated advanced capabilities to help guide our quality initiatives and patient outcomes, ultimately supporting the health of our patient populations and the success of DVACO as we position ourselves during this transformative time for the industry.”
In addition to the capabilities of Wellcentive’s solution, DVACO cited the company’s 10 years of exclusive focus on population health in the provider setting and strong commitment to innovatively partnering with its customers as key factors in its selection.
“DVACO’s mission and success in convening providers to accelerate and facilitate a transition to value- based, population health-focused approach to business offers model for the industry,” said Tom Zajac, Wellcentive’s CEO. “Wellcentive and DVACO are driven by the same vision—enhancing the care of populations, improving the quality of that care, and reducing overall cost. We are excited to partner with them to bring their vision to reality and deliver value for the Philadelphia region.”
DVACO required a comprehensive, unified solution to support its advanced approach to care management, quality programs, population outreach, and risk management. The partnership with Wellcentive will provide:
- Data aggregation across its partners and entities, including disparate EMR, clinical and claims systems, enhanced by facilitated data quality services to ensure accurate, complete, and reliable data for driving improvement.
- Analytic and workflow solutions for tracking, reporting and improving performance on a broad spectrum of clinical quality measures—including measures for Shared Savings and commercial payer programs.
- Expanded care management and population outreach capabilities, including a flexible framework for community and individual care plans that can adapt to the evolving requirements of value-based care.
About Delaware Valley ACO
The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health, Jefferson University and Hospitals, Holy Redeemer Health System, Doylestown Health, and Magee Rehabilitation Hospital. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service model, a business model focused on volume to a model focused on population health. DVACO operates under the Medicare Shared Savings Program (MSSP) and is currently the region’s largest Medicare ACO with more than 430 primary care physicians and over 65,000 Medicare fee-for-service beneficiaries. For more information please visit www.dvaco.org.
Since 2005, Wellcentive has driven quality improvement, revenue growth, and business transformation for providers, health systems, employers, and payers transitioning to value-based care. Recognized as an industry leader for delivering immediate, tangible results, Wellcentive’s analytics simplify complex data from all points of care, advancing comprehensive care management and payer collaboration. Customers benefit from intelligence gained from 15 billion data points each year, improving outcomes for 30 million patients and generating more than $500 million annually in value-based revenue. Visit www.wellcentive.com; follow us on Twitter, LinkedIn and Facebook; or call 877-213-8456 to learn more.
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The Care Coordination department launched in the fall of 2014, with the addition of the Director of Care Coordination, Ann Marks, RN, who brings over 25 years of experience within payer and provider sectors serving special needs populations. In October 2014, the DVACO added two of its first RN care coordinators, who have since assisted over 500 patients with complex care needs. The DVACO’s care coordination team works with patients in collaboration with their primary care providers, specialists, hospital-based care managers, practice-based care coordinators, and a multitude of agencies, in an effort to reduce fragmentation of patients’ care. Our care coordinators complement existing care coordinators within the health systems’ employed practices or other ambulatory settings. Our goal is to serve as an extension of the primary care providers’ staff.
As the DVACO evolves, we seek ways to improve patient care. This requires utilizing experienced care coordinators who are primarily registered nurses or social workers, along with standardized processes for identifying patients within the population who are most likely to benefit from enhanced care coordination. Technology to support a standardized care coordination process is imperative, and includes patient identification, stratification, data analysis, care planning, alerts about gaps in care, and documentation of the overall care coordination process.
A key component of the quality measures we use to evaluate the success of care coordination is continuous monitoring of emergency department utilization and inpatient hospital admissions rates. DVACO also helps monitor the patient’s transition of care from hospital to nursing home or home health, as well as to and from the patient’s own home setting. This includes evaluation of access and adherence to prescribed medications, scheduling of followup appointments, and assessment of patient barriers to recovery. Our care coordinators then develop a care plan with the patient and primary care provider to help track the identified problems, goals and interventions.
The DVACO Care Coordination department welcomes the opportunity to meet with providers and organizations to discuss the care coordination program. A secure email and toll-free number have been established for practices or facilities to refer a DVACO patient for evaluation of care coordination needs. Email us at Carecoordrefer@dvaco.org or call 1-855-598-4225.
Katherine A. Schneider, MD, has been named President and CEO of the Delaware Valley Accountable Care Organization (DV-ACO). Dr. Schneider will provide leadership, strategic direction and ongoing administration and management for all aspects of the DV-ACO. She was selected for this role after an exhaustive search by a committee with representation from each of the organization’s five owners — Main Line Health, Jefferson Health System, Holy Redeemer Health System, Magee Rehab and Doylestown Hospital. Dr. Schneider succeeds David F. Simon who has served as CEO of the DV-ACO since its inception. Her appointment was planned to coincide with the conclusion of Simon’s responsibilities as JHS Executive Vice President and Chief Legal Officer, which resulted from the JHS restructuring earlier this year. Simon’s future endeavors include returning to full time law practice in 2015, as well as continuing as Chairman of the Pennsylvania eHealth Partnership Authority.
DV-ACO Board Co-Chairs, Jack Lynch, President and CEO of Main Line Health, and Stephen Klasko, MD, President and CEO of Thomas Jefferson University and Jefferson Health System, expressed their excitement regarding the future of the organization: “We are incredibly grateful to David for his work in successfully positioning the DV-ACO for the future, and we are confident that Dr. Schneider’s clinical experience and business ingenuity will situate the DV-ACO as a pioneering model of care delivery as we partner with our physicians to deliver exceptional patient care while lowering health care costs.”
“I am honored to be chosen as the new leader tasked with ensuring the continued growth and success of the Delaware Valley Accountable Care Organization,” said Dr. Schneider. “As our nation undergoes a fundamental shift in the design and delivery of health care, I believe that DV-ACO will lead the way in population health improvement by streamlining clinical integration while enhancing the quality and personalization of patient care.”
The DV-ACO is the region’s largest Medicare Accountable Care Organization with more than 400 primary care physicians. DV-ACO began participating in the Medicare Shared Savings Program in January 2014, and since that time, 32,000 Medicare fee-for-service beneficiaries have been assigned to the DV-ACO.
Dr. Schneider comes to DV-ACO from Medecision, where she served as Executive Vice President and Chief Medical Officer. The company is the leading provider of health care management and care coordination software solutions serving national, regional and local health plans, insurers and provider-based organizations. Prior to her role at Medecision, Dr. Schneider served as Senior Vice President, Health Engagement, for the southeastern New Jersey health system AtlantiCare, where she held numerous leadership roles, including founding Board Chair of the Accountable Care Organization and co-designer of a value-based health insurance benefit for 10,000 employees and dependents. Before joining AtlantiCare, Dr. Schneider worked at Middlesex Health System in Connecticut where she held various roles with increasing responsibility, ultimately serving as Chief Medical Officer of the clinically integrated entity. In this role, she led the system’s participation in CMS’s Physician Group Practice Demonstration Project, the pilot precursor to the Medicare Shared Savings Program.
After graduating magna cum laude from Smith College with a degree in biochemistry, Dr. Schneider went on to receive her Master of Philosophy in Epidemiology and medical degree from Columbia University. She completed her medical residency in Family Medicine at Middlesex Health System. She is a Diplomate for both the American Board of Family Medicine and for Clinical Informatics subspecialty, American Board of Preventive Medicine. From 2010 to 2012, Dr. Schneider was appointed by United States Secretary of Health and Human Services (HHS) Kathleen Sebelius to serve on the National Advisory Council, Agency for Healthcare Research and Quality (AHRQ) of the US Department of HHS.
A mother and stepmother of four young adult children, Dr. Schneider resides in Philadelphia with her husband, William R. Petricone, Jr., JD, MD.
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