St. Luke’s joins Capital BlueCross to launch accountable care model

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A St. Luke's Quick Care office (file photo)
A St. Luke's Quick Care office (file photo)

St. Luke’s University Health Network and Capital BlueCross announced a joint venture to launch a regional accountable care arrangement to improve the health care experience for customers.

Capital BlueCross is partnering with St. Luke’s Physician Group primary care and specialist physician practices to provide an accountable care model that will include dedicated nursing resources and technology to deliver patient-centered, holistic care. It’s an effort to enhance care coordination and patient experience, improve health outcomes and reduce health care expenses.

“Capital BlueCross is excited to partner with St. Luke’s, which has a strong reputation of delivering quality care to the Lehigh Valley community,” said Dr. Jennifer Chambers, Capital BlueCross senior vice president and chief medical officer. “We have had great success coordinating accountable care arrangements and look forward to providing this high level of care to our customers through the St. Luke’s network.”

Through the use of chronic disease registries, electronic medical record systems and technology-enabled predictive modeling, the partnership will identify customers with complex and chronic medical conditions, or those at risk for such, and will assess them for outreach, education and clinical, wellness or community-based intervention services.

The partnership also will identify customers who are eligible, but have not received, preventive services appropriate for their age and medical condition.

“St. Luke’s University Health Network is committed to improving the health, well-being and quality of life of the people living in our community,” said Dean Evans, president of St. Luke’s Physician Group. “We look forward to working with Capital BlueCross and business leaders.”

By focusing on a holistic approach to patient care and working with patients to establish and manage comprehensive plans of care, the partnership also expects to enhance patient access, decrease hospital readmissions and preventable complications, proactively remind patients of needed prevention and chronic care services and improve communication and care coordination.

St. Luke’s and Capital BlueCross relied on Lehigh Valley Business Coalition on Healthcare for its input on the needs of the community, as well as for the process and approach for the accountable care model.

“Employers support efforts to move from a health care system paid on volume of services performed to one that’s rewarded for value,” said Tom Croyle, president of LVBCH. “This requires serious discussions about changing not just business models and how we pay for health care, but the culture of clinical practices and measures.”

St. Luke’s University Health Network has six hospitals and four emergency rooms in eight counties in the state and in Warren County, N.J. St. Luke’s Physician Group is a network of physician practices affiliated with St. Luke’s University Health Network and includes primary care, obstetrics and gynecology and specialty practices.

Capital BlueCross, a health insurance provider headquartered in Harrisburg, has been serving central Pennsylvania and Lehigh Valley residents and businesses for 75 years.

Jennifer Glose

Jennifer Glose

Reporter Jennifer Glose covers health care, Berks County and other topics. She can be reached at jenniferg@lvb.com or 610-807-9619, ext. 111. Follow her on Twitter @jenniferg_LVB and read her blog, “Networking,” at http://www.lvb.com/section/networking-blog.

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