Home Accountable Care

Evernorth Accountable Care

Be a part of an exclusive network that receives preferred referrals and reinvents the way provider networks are created and managed.

Our model delivers value with improved patient outcomes and easy access to affordable care.

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The challenges of today’s health care landscape call for a new approach

The standard health care delivery model in which we have operated for decades is no longer meeting the needs of payers, providers and most importantly, patients. 

The lack of interoperability, fragmentation of services and rising costs due to health inequities are only a few of the reasons why we need to reinvent the way we deliver and manage care.

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The Evernorth Accountable Care approach to network creation

Leveraging a provider centric approach and open data architecture to connect and integrate the care delivery experience—resulting in the creation of both value and volume.

Curate high-performing networks of primary care and specialty providers

Develop and launch value-based care products at a scale that doesn’t exist in the market today

Enable integrated care pathways across digital, virtual and physical sites of care

Build and grow a model that harnesses both Evernorth Health Services and partner providers capabilities

Align with trusted payer partners in value-based arrangements

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Creating a new frontier in value-based care

With the launch of Evernorth Accountable Care, Evernorth Health Services is championing a value-based ecosystem that connects patients to high-performing primary care providers (PCPs) and specialists at affordable costs and improved quality outcomes.
 

By enabling these networks to harness the power of Evernorth’s unique capabilities and solutions, we will create unmatched value at an unprecedented scale—simplifying the care journey, enhancing health equity and driving total cost of care savings for our partners along the care continuum.

Delivering value across the ecosystem

In our model, everybody wins. Our value-based arrangements will only become more sophisticated as we grow, enabling us to produce powerful outcomes at every level of care management.
Specialists

Expanded patient base

Open data architecture and innovative digital operations

Full risk/capitated offerings with new PCP partners and payer clients

Primary Care Partners

Clear communication with other providers

Enterprise capabilities and resources  to support scalability

Ability to connect partnerships within our network

Health Plans

Improved care outcomes

Total cost of care savings and predictable pricing structures

Enhanced member satisfaction with tech- enabled care delivery

Patients

Access to high-quality care at an affordable cost

Seamless, convenient care experiences

Easy-to-use digital health tools and connectivity with providers

How we drive affordability and quality of care

Evernorth Accountable Care will center around the formation of how value is created, which helps to create and distribute cost savings within our networks through various levers and mechanisms:
Patient navigation to preferred providers

Utilization of preferred specialists and primary care providers is associated with total cost of care savings and high quality outcomes.

Patient growth

Patients aligned in an Accountable Care Organization can be more effectively navigated to the preferred network.

Provider engagement

Value-based incentives and deployment of new clinical models to specialist providers drives improved outcomes and total cost of care savings.

Partnership with VillageMD

Evernorth has partnered with VillageMD to determine how value is created and align provider networks in four initial markets: New Jersey, Arizona, Texas and Connecticut

Partnership with Evernorth Care Group

Evernorth Care Group is also an anchor primary care provider in Phoenix, Arizona in Evernorth Accountable Care’s aligned provider networks