Regal Medical Group (RMG)

With a network spanning more than 5,000 square miles and thousands of health care providers, Regal Medical Group is part of one of Southern California's largest managed health networks. That size works to your advantage, allowing us to be there to coordinate all of your health care, when and where you need us. In spite of our size, we remain rooted in close community and operate upon the simple, traditional principles of knowing our customer, and providing respectful, personal, quality care.

At Regal, we know that navigating the healthcare system can be complicated for patients and for physicians. We also believe that during a visit to your doctor, the focus should be on health and wellness. You should be discussing things like prevention, diagnosis, treatment and healing, not coverage, networks, claims, regulations and billing. That's where an IPA, like Regal Medical Group, is able to serve both patients and physicians, by managing the business of managed care so that you don't have to.

Regal Medical Group works together with your healthcare plan and your PCP to keep things running smoothly. We collaborate with our physicians to provide quality care, while focusing on minimizing your out of pocket expenses. One way that we keep your overall health care costs low is by emphasizing preventative care in order to keep you healthy.

Sierra Medical Group (SMG)

Sierra Medical Group represents the future of medicine. Throughout our twenty five year history serving Antelope Valley, we have diligently invested our time and resources in the development of programs and services responsive to the healthcare needs of today's patient, while adapting to the increasingly diverse needs of tomorrow's health care agenda.

At SMG your health is our priority. An excellent team of specialty physicians who are either board certified or board eligible supports our primary care physicians providing you with a comprehensive healthcare network that is fully committed to your individual needs.

At SMG, we work hard to ensure that our patients receive quality medical care. This is why you will find easy access to your doctor, minimal waiting time for referrals, and staff members that genuinely care for your well-being.

Desert Oasis Health Care (DOHC)

DOHC is a team of highly skilled primary care physicians and ancillary providers, servicing the community with all their health care needs from newborn to senior care. We have convenient locations throughout the Coachella Valley, Morongo Basin and Yucca Valley areas.

DOHC’s services include access to 6 Immediate and Urgent Care Centers - Bermuda Dunes, Indio, Palm Desert, Palm Springs and Yucca Valley. Our programs include Living and Aging Well, Home Health Services and Medication Management Services which are committed to improving your health proactively.

We are affiliated with every hospital in the Coachella Valley, which includes Eisenhower Memorial Hospital, Desert Regional Medical Center, John F. Kennedy Memorial Hospital and Hi-Desert Medical Center.

Bakersfield Family Medical Center (BFMC)

Bakersfield Family Medical Center provides excellence in health care to our patients in professional settings that promote wellness and preventive medicine in Kern County.  Throughout the twenty year history of our medical group, we have diligently invested our resources in the development of programs and services responsive to the healthcare needs of today’s patient while adapting to the increasingly diverse needs of tomorrow’s healthcare agenda.

Our facilities offer superior patient convenience by providing Urgent Care, Pharmacy, Lab, Radiology, Pediatrics and a variety of specialty services at one convenient site.  In addition, the Heritage Physician Network is a group of physicians located throughout Kern County who have joined together to form an Independent Physicians Association (IPA).  These IPA physicians remain affiliated with BFMC although they maintain their own individual offices.  Members who choose physicians in Heritage Physician Network will see their selected doctors in their conveniently located private offices.  All members of Heritage Physician Network can access the full range of services, programs and specialists offered by BFMC.

Coastal Communities Physician Network (CCPN)

CCPN is an Independent Practice Association (IPA) formed in 2006, consisting of a network of contracted physicians located throughout the San Luis Obispo and Tulare counties. These IPA physicians are affiliated with BFMC/CCPN for the coordination of care rendered to members who have selected CCPN as their primary medical group.  Members who choose physicians of CCPN will see their doctors in their conveniently located private offices and also have access to a whole network of out-of-area specialists.  All members of CCPN can access a full range of services, programs and specialists through these contracted providers.

High Desert Medical Group (HDMG)

HDMG has a long-standing promise to provide residents of the Antelope Valley with the highest quality health care possible. Living up to our promise is an on-going commitment, which necessitates our growth as a multi-specialty medical group providing a wide range of health care services for our patients. For more than 25 years, we've been fortunate to have an impressive team of health care professionals, administrators, support personnel and dedicated volunteers who work in unison to help us deliver on our promise.

Together, we partner with local hospitals, medical experts and business leaders, and we actively support numerous organizations, educational, cultural and recreational events. Our team of healthcare professionals is available and ready to help you with all of your medical needs. We accept over 85 different health plans, including HMO, PPO, POS, EPO, Private and Medicare plans. Our Lancaster facility offers the convenience of having your Primary Care Physician, Lab, X-Ray, Urgent Care, Pharmacy, a Health Education Department, Infusion Center, and a multitude of subspecialties all under the same roof. In addition, our Urgent Care is now open daily 6am - 8pm.

Heritage Victor Valley Medical Group (HVVMG)

Heritage Victor Valley Medical Group has exceeded our members’ expectations since its inception in 2003 through personalized care by a staff of skilled professionals, a speedy referral system, and a panel of specialists to serve all your medical needs.

We believe the most important aspect of healthcare is tending to the personal needs of our patients. Our facilities are equipped with some of the finest diagnostic equipment and technicians available. We have the resources and commitment to always bring the best to meet the new challenges and ever-changing health care needs of the Victor Valley region.

Lakeside Medical Group (LMG)

Lakeside Medical Group is a comprehensive healthcare provider with a network of physicians and services throughout the San Fernando, San Gabriel and Santa Clarita Valleys, as well as parts of Ventura and San Bernardino Counties. We aim to deliver quality, affordable healthcare to the communities we serve.

We bring more than 20 years of innovation in healthcare delivery and management systems to our integrated network of services, which include hundreds of primary care physicians and over a thousand specialists; ancillary services, such as an outpatient surgery center, urgent care centers and physical therapy; and affiliations with premier hospitals, labs and other support services.

Our commitment to complete patient care includes developing new and better ways of delivering healthcare. From our approach to prevention and disease management to our hospitalist program and more, your care is coordinated so that you have the best possible outcomes.

ADOC Medical Group (ADOC)

ADOC Medical Group (ADOC) is an independent practice association, a medical group of over 275 private physicians and 600 specialty physicians who are dedicated to providing affordable, quality healthcare for individuals of all ages. We are affiliated with most major health plans, including many HMOs.

With offices throughout the greater Orange County area, chances are board-certified primary care physician and board certified specialists you need are in your own neighborhood.

Our goal is to help you make better care decisions for yourself and your family.

Healthcare Leaders Back Analytics Software That Overcomes Major Barrier to Value-Based Care

Media Contacts:

Janet Janjigian, Carmen Group West
Heritage Provider Network
(424) 354-0133
janjigianj@carmengroup.com

Sarita Choy
COPE Health Solutions
(323) 270-5895
schoy@copehealthsolutions.com

NEW YORK, May 02, 2019 (GLOBE NEWSWIRE) -- COPE Health Solutions, Montefiore Health System, Adventist Health, and Heritage Provider Network Inc. have formed a joint venture to introduce an analytics software platform. Analytics for Risk Contracting (ARC) software enables healthcare providers to determine their actual care costs and understand the net financial effect of specific care improvement efforts, population health management and other quality and cost initiatives.

"Within two weeks of using ARC, we identified several large opportunities for improvement. We prioritized the most pressing ones and have begun the process to revise hospital contracts to generate annual savings going forward," said John Beaman, Chief Business Officer for Adventist Health.

The ARC software suite overcomes the enormous challenge facing many providers in understanding their total cost of care and the expense breakdown for providing particular treatments or caring for specific patient groups. Health systems, physician groups and other healthcare providers often lack necessary operating information because under the fee-for-service system, payments have long been disconnected from costs.

"Not understanding the actual total cost of care, in detail, is a huge obstacle to moving U.S. healthcare to value-based care and risk-based payments," said Yomi Ajao, the COPE Health Solutions senior vice president who led the development of the ARC software tool and will serve as president of the joint venture, Analytics for Risk Contracting, LLC. "The tremendous promise of value-based care won't be realized unless providers can see their way forward to accepting more reimbursements tied to cost and quality goals. ARC solves this fundamental problem."

More firepower
ARC uses proprietary algorithms for financial modeling that enable providers to understand and explore the net financial effect of various combinations of inputs, such as changes in specialty use, inpatient use, and physician incentives. Providers can see how they are performing against their care delivery and financial plans.

"Using its years of population health management experience and ARC, Montefiore's Care Management company found opportunities to reduce single-day admissions, admissions for end stage renal disease, improve in-network referral, and reduce overall cost of specialty care," said Stephen Rosenthal, President, Care Management Company, a subsidiary of Montefiore Health System.

Montefiore has been a pioneer in population health management and value-based purchasing for more than two decades. Through its Care Management Organization, it administers comprehensive care to close to 500,000 Medicare and Medicaid beneficiaries, and members of commercial health plans.

"ARC software is a breakthrough for advancing value-based care. It gives physicians, health systems and other providers, the ability to transform their health plan contracting from volume to value. We continue to see CMS' movement away from fee-for-service, most recently through the newly announced Direct Contracting Payment Models, and ARC can help medical groups, IPAs, ACOs and others considering these demonstrations," said Richard Merkin, MD, Founder and CEO of Heritage Provider Network, the nation's largest physician-founded, global risk-managed organization.

Going beyond other total cost of care tools, ARC software delivers precise information and detailed insight because of its analytical power and more comprehensive data sources. ARC:

• Aggregates data from numerous sources across the continuum of care and populations - claims, pharmaceutical, provider financials, and national, regional and network benchmarks.
• Identifies problems or variations within populations, service lines, clinicians or locations, such as avoidable utilization.
• Provides root causes and paths for navigating to solutions.

Working with ARC
Montefiore Health System and Adventist Health have been strategic partners with COPE Health Solutions, a population health management consulting firm, in developing and using the cloud-native ARC tool. They have teamed up with Heritage Provider Network to form a subsidiary of COPE Health Solutions to make the tool available as a software as a service platform. Clients also have the option of working with COPE Health Solutions to analyze data, develop insights, understand the financial consequences and plan and execute improvement efforts.

About COPE Health Solutions
COPE Health Solutions is a national health care business advisory firm and a leader in moving health care payers and providers to value-based payments and care models. It partners with clients to help them achieve visionary, market relevant health solutions. COPE Health Solutions’ areas of expertise and focus include all aspects of strategy, population health management, value-based payment, data analytics, and workforce development for clients across the health care continuum, including hospitals, health systems, physician organizations, and health plans.

COPE Health Solutions' multidisciplinary team of health care experts provides clients with the experience, capabilities and tools needed to plan for, design, implement and support both the development and execution of strategy. The firm partners with clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment. For more information, visit www.copehealthsolutions.com.

About Montefiore Health System
Montefiore Health System is one of New York's premier academic health systems and is a recognized leader in providing exceptional quality and personalized, accountable care to approximately three million people in communities across the Bronx, Westchester and the Hudson Valley. It is comprised of 11 hospitals, including the Children's Hospital at Montefiore, Burke Rehabilitation Hospital and close to 200 outpatient care sites. The advanced clinical and translational research at its' medical school, Albert Einstein College of Medicine, directly informs patient care and improves outcomes. From the Montefiore-Einstein Centers of Excellence in cancer, cardiology and vascular care, pediatrics, and transplantation, to its' preeminent school-based health program, Montefiore is a fully integrated healthcare delivery system providing coordinated, comprehensive care to patients and their families. For more information please visit www.montefiore.org. Follow us on Twitter and view us on Facebook and YouTube.

About Adventist Health
Adventist Health is a faith-based, nonprofit integrated health system serving more than 80 communities on the West Coast and Hawaii. Founded on Seventh-day Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care agencies, hospice agencies and joint-venture retirement centers in both rural and urban communities. Our compassionate and talented team of 37,000 includes associates, medical staff physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Together, we are transforming the American healthcare experience with an innovative, yet timeless, whole-person focus on physical, mental, spiritual and social healing.

About Heritage Provider Network
Heritage Provider Network, Inc. (HPN) is one of the most experienced physician organization leaders of accountable care and continuous value-based healthcare delivery improvements. Developing and managing coordinated, patient-doctor centric, integrated health care systems that offer some of the strongest solutions for the future of health, care and cost in the United States. HPN and its affiliates operate in New York, California, Arizona, Missouri and Colorado providing high quality, cost effective healthcare with over one million patient members and are dedicated to quality, affordable health care, and putting patients' wellness first. www.heritageprovidernetwork.com