Accountable Community Healthcare – Delivered by Continental Benefits

Business Development Solutions for Accountable Care Organizations (ACO)

Continental Benefits is the only TPA with the technology, experience, and wherewithal necessary help ensure your ACO becomes a preeminent Community Health Plan.

ACO GUIDING PRINCIPLES for Sustainable Success

ACOs expand access to primary care despite having less PCPs compared to traditional PPO networks. ACOs achieve care quality and patient satisfaction criteria before any financial savings are shared.

ACOs are rewarded for better performance, not better risk selection.

ACO PROGRESSION

Customized ACO benefit plan Dedicated customer service Optimize ACO performance

Physician-driven care management Turn-key operation for ACO Promote ACO brand and value

Preeminent ACO brand NCQA Accreditation Health Insurance license

ACO is Tier 1 Network for Hospital’s Employee Medical Benefit Plan

Sell ACO Network to Self-Funded Employers

Develop ACO Community Health Plan

BUILDING BLOCKS from Continental Benefits

Remarkable Service

Outreach to new members

Overstaffed call center

Performance guarantees

Integrated Technology

Unmatched Wisdom

Exceptional Outcomes

TPA / PBM / Care Management

Actionable data to ACO

Benefit admin platform

ACO-minded staff

ACO product expertise

Risk-adjusted analysis

Healthy Members (HEDIS score)

Happy Members (CAHPS Survey)

PMPM cost savings

Better Population Health

Better Patient Experience

Better Per-capita Cost

TRIPLE AIM

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