Orange County Business Journal

Blue Shield, Hoag in ‘Accountable Care’ Partnership

Vita Reed Tuesday, February 28, 2012

Hoag Memorial Hospital Presbyterian, with locations in Newport Beach and Irvine, said it would work with insurer Blue Shield of California on a three-year “accountable care” organization.

The hospital and health plan will be joined by the Greater Newport Physicians medical group in the initiative, which aims to serve some 11,000 Blue Shield HMO members in Orange County.

Accountable care organizations offer incentives for doctors, hospitals and insurers to work together to reduce healthcare costs. The participants will share clinical and case management information and coordinate comprehensive healthcare services.

Blue Shield said the initiative would start on July 1.

The insurer already works with Orange-based St. Joseph Health System on an accountable care organization covering 30,000 of its Orange County members.

Monarch HealthCare, an Irvine-based medical group, also has an accountable care organization under way with Medicare.