Centers for Medicare & Medicaid Services Selects Care New England for Five-Year $3.9 million Cooperative Agreement

Care New England (CNE) announced it has been selected by the Centers for Medicare & Medicaid Services (CMS) as the recipient of one of only 32 national Accountable Health Communities model grants, awarding an anticipated $3.9 million for the five-year initiative focused on ensuring high-risk Medicare & Medicaid patients have access to high-quality health care services while also achieving cost savings.

Integra Community Care Network to Participate in Medicare Next Generation Accountable Care Organization Model

The Centers for Medicare & Medicaid Services (CMS) announced today that Integra Community Care Network, LLC, (Integra) will participate in the Next Generation Accountable Care Organization (ACO) Model effective January 1, 2017.

Integra Community Care Elects New Board Chair

Albert Puerini, MD, president and CEO of RI Primary Care Physicians Corporation (RIPCPC), has been elected as Chairman of the Board of Integra Community Care Network, LLC, a Center for Medicare and Medicaid Services (CMS) certified Accountable Care Organization (ACO) and a Medicaid Accountable Entity certified by the Rhode Island Executive Office of Health & Human Services. Dr. Puerini has served as the ACO’s vice chairman and a medical director since its inception in 2014. He succeeds Dennis D. Keefe, president and CEO of Care New England, as Board Chair. Dr. Puerini will retain his role as a medical director.

Integra Community Care Network: Medicare Shared Savings Program Performance Year 2015 Quality and Financial Results

The Centers for Medicare & Medicaid Services (CMS) today announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality of care for Medicare beneficiaries, while achieving cost savings.

Integra and UnitedHealthcare to Improve Medicaid Patients’ Health Care

Integra Community Care Network, LLC, and UnitedHealthcare Community Plan of Rhode Island have launched a Medicaid accountable care entity to improve health outcomes, increase patient satisfaction and reduce the overall cost of care for people enrolled in UnitedHealthcare Medicaid plan.

BCBSRI and Integra Forge Innovative Agreement

A new agreement between Blue Cross & Blue Shield of Rhode Island (BCBSRI) and Integra Community Care Network, LLC (Integra) will provide 60,000 BCBSRI members a new model of coordinated health care delivery. Integra is the partnership of Care New England Health System (CNE) and its network physicians, Rhode Island Primary Care Physicians Corporation (RIPCPC), and South County Health and its network physicians. Focused on population health management, the contract creates incentives for Integra’s providers to proactively manage patient health needs.

ConvergenceRI: Care New England talks about its new ACO, Integra

The tide is shifting in the business model for health care delivery, away from fee-for-service and toward what is known as Accountable Care Organizations. Instead of being reimbursed according to the number of patients seen or by the number of images and tests conducted, the new business model – driven in large part by shifts to a global payment model by Medicare and Medicaid – seeks to reward providers and hospitals through bundled payments across a continuum of care, focused on what the patient needs to be healthier.

Providence Journal: James Fanale and Al Puerini: Better serving R.I. Medicare patients

When we think of improving our health system, we look at three things -- quality of care, access to care and cost of care. The Affordable Care Act has helped to address access, but we’re still working hard on the other two pieces.

Many patients have multiple chronic diseases, like heart disease and diabetes, that won’t go away. They often need multiple medications to manage their conditions and visit the emergency room frequently, because of their regular need for urgent care. For many of them, it’s physically exhausting just to get to their doctor’s office.

Providence Business News: Five Questions with Mark Waggoner

Mark Waggoner is senior vice president, care integration and management for Blue Cross & Blue Shield of Rhode Island. Waggoner spoke with Providence Business News to explain the recent affiliation between BCBSRI and Integra Community Care Network, a partnership of several physician groups that is designed to make health care more accessible and affordable.

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