AHIP December 4, 2019
Alicia Caramenico

Americans deserve high-quality, affordable health care choices, and value-based care arrangements play a critical role in delivering on that commitment. Health insurance providers are focused on delivering value to patients, and Prominence Health Plan’s experience with a value-based shared-savings program underscores this.

Prominence operates seven Accountable Care Organizations (ACOs) that reward physicians who lower health care costs and improve quality for specific patient populations. The Prominence ACOs saved Medicare $65 million in 2018 and returned $30 million in savings to the 3,000 participating physicians. The savings are on top of an average 96% quality score since the first Prominence ACO started in 2014.

“The model rewards both the patient and physician as the patient receives better healthcare and the physician is financially incentivized for keeping them...