inVio Health and CVS Partner

Collaboration aimed at increasing Medicare patients’ access to value-based health care across South Carolina.

June 2024 – The Journal of Healthcare Contracting

CVS Accountable Care Organization, Inc. and inVio Health Network have partnered to increase Medicare patients’ access to value-based care across South Carolina. CVS Accountable Care is a division of CVS Health. The companies announced a collaboration to participate in a Medicare model through the Center for Medicare & Medicaid Innovation (CMMI). The new Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) program focuses on reducing barriers to receiving care.

CVS and inVio Health Network’s goal together is to provide coordinated, patient-centered care to improve the health, clinical outcomes, and satisfaction of patients with Medicare. Since 2015, inVio Health Network and its partners successfully managed Medicare patients through MSSP, reducing costs for more than 60,000 Medicare patients.

inVio Health Network is of the largest integrated networks in the Southeast. Prisma Health Upstate and Prisma Health Midlands Networks operated as two separate organizations before, coming together in 2021 to form the inVio Network. The agreement continues to build on the Medicare Shared Savings Program (SSP), which is  a similar CMS program that ensures patients have access to equitable care.

CVS Accountable Care is a risk enablement and management partner associated with CVS Health. CVS Accountable Care financially supports providers on a path with different programs and service models to meet providers where they are. The sector of the company began in 2023, enabling 200 plus health systems and 70,000 clinicians in care contracts, improving care for over one million Medicare patients.

CVS Accountable Care will utilize their understanding of inVio Health Network’s community needs through provider enablement, aiming to improve not only patient care but also community outcomes, while also strengthening care coordination for patients.

“We are on a collaborative value-based journey with our physicians and healthcare clinicians to improve the quality and health across South Carolina, regionally, and nationally,” said Dr. Bill Gerard, CEO of inVio Health Network, “This new model allows us to provide enhanced resources and clinical services across our network where we will be collaborating with MinuteClinic locations across South Carolina to be part of our network’s ACO REACH program. We look forward to the incredible opportunities ahead as we transform healthcare together.”

“Innovation programs and collaborations like these help us make a meaningful difference in the lives of Medicare patients across the United States by enabling more connected, effective care experiences for people who need it most,” said Dr. Mohamed Diab, president, CVS Accountable Care. “Together, we are increasing access to value-based care, which can improve outcomes for Medicare patients while achieving lower costs.”

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