inVio Health Network and CVS Accountable Care partner to increase Medicare patients’ access to value-based health care
April 17, 2024
Agreement establishes new Accountable Care collaboration to improve quality and health for 60,000 Medicare beneficiaries served by inVio Health Network
inVio Health Network and CVS Accountable Care Organization, Inc., a division of CVS Health® (NYSE: CVS), today announced a collaboration to participate in an innovative Medicare model through the Center for Medicare & Medicaid Innovation (CMMI). The new Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) program focuses on reducing barriers to care by providing coordinated, high-quality patient centered care to improve the overall health, clinical outcomes, and satisfaction of patients with traditional Medicare.
inVio Health Network, one of the largest physician-led, clinically integrated networks in the Southeast, and CVS Accountable Care will leverage their deep understanding of the inVio communities’ health needs and their commitment to delivering high-quality care through provider enablement to improve patient and community health outcomes. The collaboration will help strengthen care coordination for patients, using advanced analytics as well as key value-based care and population health management services, programs, and resources to enhance longitudinal care management.
“We are on a collaborative value-based journey with our physicians and healthcare clinicians to improve the quality and health across South Carolina, regionally, and nationally,” said Dr. Bill Gerard, CEO of inVio Health Network, “This new model allows us to provide enhanced resources and clinical services across our network where we will be collaborating with MinuteClinic locations across South Carolina to be part of our network’s ACO REACH program. We look forward to the incredible opportunities ahead as we transform healthcare together.”
“Innovation programs and collaborations like these help us make a meaningful difference in the lives of Medicare patients across the United States by enabling more connected, effective care experiences for people who need it most,” said Dr. Mohamed Diab, President, CVS Accountable Care. “Together, we are increasing access to value-based care, which can improve outcomes for Medicare patients while achieving lower costs.”
Prisma Health Upstate and Prisma Health Midlands Networks operated as two separate but highly aligned organizations that came together in 2021 to form inVio Health Network. This agreement builds on their successes in the Medicare Shared Savings Program (MSSP), a similar CMS program, ensuring patients have access to equitable, high-quality care. Since 2015, they successfully managed Medicare patients through MSSP, reducing costs by over $81M while earning top decile quality, for more than 60,000 Medicare patients.
About inVio Health Network
inVio Health Network is a Clinically Integrated Network (CIN) affiliated with Prisma Health that includes over 5,600 Prisma Health employed and independent community physicians, hospitals, and healthcare clinicians, which extends across eighteen counties in the Upstate and Midlands of South Carolina. The network provides the infrastructure to operationalize clinical and cultural change supporting physicians at what they do best – caring for patients.
About Prisma Health
Prisma Health is a private nonprofit health company and the largest health care organization in South Carolina. The company has 29,309 team members, 18 acute and specialty hospitals, 2,827 licensed beds, 320 practice sites, and more than 5,600 employed and independent clinicians across its clinically integrated inVio Health Network. Along with this innovative network, Prisma Health serves almost 1.5 million unique patients annually in its 21-county market area that covers 50% of South Carolina. Visit www.PrismaHealth.org.
About CVS Accountable Care
CVS Accountable Care, part of CVS Health®, is a value-based risk enablement and management partner. We enable and financially support a full spectrum of providers in a glide path to risk with varying programs and service models to meet providers where they are. CVS Accountable Care was formed in 2023 as a result of bringing together Signify Health Value-based Care Solutions with the CVS Accountable Care Organization. As CVS Accountable Care, we enable 200+ health systems and 70k+ clinicians in value-based care contracts across the nation, caring for over 1 million Medicare patients.
