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Blue Cross and Blue Shield of Texas and Southwestern Health Resources Announce Accountable Care Organization (ACO) Agreement

Oct. 16, 2018

Blue Cross and Blue Shield of Texas (BCBSTX) and Southwestern Health Resources have joined forces to provide access to high-quality and lower cost care. This includes services and enhanced coordination of care for more than 130,000 BCBSTX members across North Texas.

“We are excited about our collaboration with Southwestern Health Resources and its Southwestern Health Resources Accountable Care Network,” said Dan McCoy, MD, president of Blue Cross and Blue Shield of Texas. “The agreement further affirms our commitment to population health and a coordinated-care model that ensures high-quality care and at a reasonable cost for our members and their patients.”

The agreement, which was effective July 1, 2018, provides access to the Southwestern Health Resources Accountable Care Network (ACN), a clinically integrated network established by Texas Health Resources and UT Southwestern Medical Center. This includes doctors and caregivers, hospitals, outpatient facilities, surgery centers, behavioral health programs and imaging centers located throughout North Texas, along with the analytics and resources available through the Southwestern Health Resources Population Health Services Company.

“Our integrated network is based on collaborations and improving the consumer experience by providing better coordinated care,” said Barclay Berdan, co-chair of Southwestern Health Resources and CEO of Texas Health Resources. “Simply put, our goal is to drive improvements that make heath care in North Texas more effective and efficient.”

“Southwestern Health Resources has shown its ability to apply innovative and comprehensive patient-focused navigation strategies to achieve great outcomes as an Accountable Care Organization to the benefit of the communities of North Texas. Our clinically integrated network brings its experience in improving patient outcomes while lowering healthcare cost, to our new partnership Blue Cross and Blue Shield of Texas,” said Daniel K. Podolsky, M.D., co-chair of Southwestern Health Resources, and President of UT Southwestern Medical Center.

An accountable care organization (ACO) is a health care collaboration that ties payments to quality measures and the cost of care. ACOs are formed by a group of providers that are committed to being accountable to patients and payers for the quality, appropriateness and efficiency of health care services that are delivered. ACOs involve doctors, hospitals, health plans, post-acute care facilities and others working together to make sure patients receive the right care at the right time and at the right cost.