New ACO Model for Cancer Patients Comes to South Florida

Florida Blue, Florida’s Blue Cross and Blue Shield company, along with Baptist Health South Florida and Advanced Medical Specialties, an oncology practice with 17 locations in South Florida, jointly announce a new collaboration aimed at providing the utmost in quality care for oncology patients in South Florida. The three organizations are teaming up to create an Accountable Care Program specific to the treatment of cancer.

The Florida Blue/Baptist Health South Florida/Advanced Medical Specialties Accountable Care Program will build a new delivery of care model that shifts toward a value-based reimbursement while improving the overall quality of care to Florida Blue members.

Accountable Care programs present mechanisms, such as shared savings, that incentivize quality, care coordination, and total care management. The overall goals of Accountable Care arrangements are to improve individual patient care, improve overall health and decrease medical costs.

“This is a collective effort between three health care industry leaders that will not only benefit our oncology patients first and foremost, but will also help set a new standard for top-quality care coordination,” said Ralph Lawson, Executive Vice President and Chief Financial Officer for Baptist Health.

Currently, 12 million people worldwide receive a cancer diagnosis each year, with an associated price tag of $286 billion in medical costs and lost productivity. By 2030, that number is estimated to increase to 22 million people each year, with a comparable rise in costs. More than half of the cost is attributable to medical care, according to a report in The Lancet Oncology.

“Our focus has been on evidence-based treatment regimens, advance care planning, and the avoidance of unnecessary ER visits and hospital admissions. Our collaboration with two health care leaders, Florida Blue and Baptist Health, will spur innovation that will lead to better-coordinated, more cost-effective care of our patients with cancer,” said Leonard Kalman, M.D., Chairman of Advanced Medical Specialties.

The Accountable Cancer Care Program will focus on treating some of the most common forms of cancer. The hope is the program will create a model of quality and service that can be replicated throughout the state.

Source: The Remington Report

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