Integra, UnitedHealthcare Launch Medicaid ACO in Rhode Island | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Integra, UnitedHealthcare Launch Medicaid ACO in Rhode Island

April 19, 2016
by Heather Landi
| Reprints

Integra Community Care Network, a Centers for Medicare & Medicaid Services (CMS)-certified Accountable Care Organization (ACO) is partnering with UnitedHealthcare Community Plan of Rhode Island to launch a Medicaid ACO entity.

As part of the joint effort, UnitedHealthcare is collaborating with physician groups as part of the State of Rhode Island Accountable Entities Pilot.

The initiative marks the first Medicaid accountable care entity launched in Rhode Island and the goal is to improve health outcomes for UnitedHealthcare Medicaid enrollees, increase patient satisfaction and reduce the overall cost of care. The initiative is part of the state’s Reinventing Medicaid Act of 2015, which aims to transform Rhode Island's Medicaid program and achieve tens of millions of dollars in savings each year without cutting Medicaid eligibility or reducing benefits.

Integra and UnitedHealthcare will work together to better coordinate patients’ care, using shared technology and information about emergency room visits and hospital admissions, and services that help patients manage their chronic health conditions and encourage healthy lifestyles, according to a press release.

The Integra care provider network is composed of the Care New England and South County Health systems, Rhode Island Primary Care—the state’s largest primary care organization—and a number of independently employed and community physicians.

“The goal of an accountable entity is to improve the health and health care of the people we serve. We believe that the state’s patient-centered medical home initiatives established a strong foundation for this approach. UnitedHealthcare has been a long-time supporter of the value primary care providers can bring to coordinating care and thereby better controlling costs,” James Fanale, M.D., chief clinical integration officer of Care New England, and chief clinical officer, Integra Community Care Network, LLC, said.

“From the start, our work to Reinvent Medicaid was driven by the goal to expand access to care, improve quality and coordination, and lower costs for taxpayers,”  Rhode Island Gov. Gina Raimondo, said in a statement. “Accountable entities like this will reward collaboration and help spark transformation throughout Medicaid.”




Former Health IT Head in San Diego County Charged with Defrauding Provider out of $800K

The ex-health IT director at North County Health Services, a San Diego County-based healthcare service provider, has been charged with spearheading fraudulent operations that cost the organization $800,000.

Allscripts Touts 1 Billion API Shares in 2017

Officials from Chicago-based health IT vendor Allscripts have attested that the company has reached a new milestone— one billion application programming interface (API) data exchange transactions in 2017.

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.

HHS Announces Winning Solutions in Opioid Code-a-Thon

The U.S. Department of Health and Human Services (HHS) hosted this week a first-of-its-kind two-day Code-a-Thon to use data and technology to develop new solutions to address the opioid epidemic.

In GAO Report, More Concern over VA VistA Modernization Project

A recent Government Accountability Office (GAO) report is calling into question the more than $1 billion that has been spent to modernize the Department of Veterans Affairs' (VA) health IT system.

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.