In July 2019, John Muir Health and Optum announced the details of their new, comprehensive relationship as a thoughtful solution to advancing high quality, convenient and affordable health care to consumers in the San Francisco Bay Area.
Optum provides managed services across a broad set of non-clinical functions for John Muir Health, including information technology, revenue cycle management, analytics, purchasing and strategic transformation initiatives. Optum also helps to accelerate John Muir Health’s ability to deliver value-based care by managing its ambulatory care coordination, specifically in the areas of case management and utilization management, and managing the administrative operations for John Muir Health's delegated risk business.
Combining the local health care subject matter expertise from John Muir Health with Optum's operational experience and transformational services and consulting represents a new model for partnerships that drive health system performance. By working with Optum, John Muir Health can focus on delivering the highest quality patient care while Optum delivers technology, analytics, services and operations expertise. Optum’s services and solutions enhance operational efficiency, reduce administrative workload and bring more data-driven insight to providers and patients at the point of care using its clinical technologies and advanced analytic tools.
UCSF Medical Center and John Muir Health are collaborating to develop new company and regional health care network. Through this affiliation we are jointly developing a company that will serve as the cornerstone of a Bay Area health care network intended to provide patients with high quality care and an exceptional experience at an affordable price. Under our agreement both organizations are remaining independent, but a new company is being created that is equally owned and operated by both organizations. The new company will serve as a funding vehicle for future joint initiatives and a shared services organization to support programs and initiatives focused on better health care, at lower costs, for Bay Area patients.
The first of these joint initiatives is investment in a collaborative effort with other health care providers to form a regional health care network, or “accountable care network” (ACN). Establishing a Bay Area-wide ACN will provide patients from throughout the Bay Area and Northern California with a competitively priced option to access, close to where they live or work, many of the Bay Area's most trusted and respected hospitals, health systems and physician organizations. Learn more about our partnership with UCSF Medical Center.
An Accountable Care Organization (ACO) is a group of doctors, hospitals and other health care professionals that closely align and collaborate on providing coordinated, quality care to patients and help avoid unnecessary duplication of services and medical errors.
As an ACO, John Muir Health coordinates health care services as well as provides care management and wellness and prevention programs, such as:
John Muir Health is participating in Medicare’s Shared Savings Program, which is also an Accountable Care Organization (ACO) program. Our participation is one way we’re working to improve coordinated care for our Medicare “Fee-for-Service” patients. We believe in doing what is best to provide a quality patient experience and help our patients improve coordination of their health, avoiding unnecessary hospitalizations. By participating in an ACO, groups of doctors, hospitals and other health care providers, coordinate high quality care to our patients—at the right time and in the right setting.