The cost savings represents a big win for the Florida-based clinically integrated network.
Orlando Health Network’s (OHN) accountable care organization saved the federal government’s Medicare Shared Savings Program (MSSP) and other commercial insurers a total of $18.3 million through efforts to improve quality and reduce health care costs during the 2019 calendar year. Nearly 275,000 patients across Central Florida benefited from the partnerships, which represents a major achievement for the clinically integrated network.
“This achievement demonstrates the significant value of coordinated care and innovative partnerships,” said John Cappleman, MD, OHN board chairman. “Because of our results, as our clinical reach and footprint continue to expand, we can confidently say it is to the benefit of our aligned providers, payers and businesses we partner with, and, most importantly, our patients.”
The network, which is part of the Orlando Health system, was launched in 2013 as the first hospital-led MSSP Accountable Care Organization (ACO) in the state of Florida. Since the launch, the network has also developed value-based partnerships with commercial payers including Aetna, Cigna, Florida Blue, and United Healthcare. Through the ACO and other value-based payer arrangements, physicians and healthcare providers work closely with the hospital to improve care and reduce cost for patients, resulting in more than $132 million in patient savings since inception.
In 2020, OHN surpassed the 275,000 mark for total covered lives using its network of more than 5,000 primary care and specialty care providers. The network now covers roughly one in eight Greater Orlando residents through its various value-based arrangements with its payer partners.
“Our clinically integrated network has advanced our health system’s mission in delivering the best care to our patients and their families across the Central Florida marketplace. The great quality results we are realizing at our health system are directly tied to the care transformation efforts of our provider network. Together, our health system and our provider network have served to make Orlando Health a leading system,” said Dr. George Ralls, chief medical officer and senior vice president, at Orlando Health.