Provider Networking
Reliance was one of the top performing Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program, earning a Shared Savings Bonus for its quality improvement and cost savings, three years in a row.
Our experience in provider training, analytics and network development has reduced costs, increased profits, and raised customer satisfaction scores for our clients, such as:
- Participated in the Medicare Shared Savings Program (MSSP) sponsored by the Centers for Medicare & Medicaid Services (CMS) from 2012 to 2016.
- Managed care provided by over 40 doctors in 13 Florida counties to 6,000 plus Medicare patients.
- Saved CMS almost $13 million in 3.5 years while improving care quality, cost efficiency and service based on CAPHS surveys.
- Paid CMS back over $1.5 million in start-up grant money after first year of participating in the MSSP.
- Built a complete database for ACO operations and provider performance tracking
- Delivered cost savings consistently under contracts with CIGNA, and WellCare.
Differentiators:
- Excellent past performance on multimillion dollar contracts with Health & Human Services/CMS contract, as well as private companies, i.e. CIGNA and WellCare.
- Our team includes an experienced clinical pharmacist, compliance officer, a certified IT project manager, specializing in database development and analytics, and an expert in legal medicine who is board-certified in healthcare quality management by the American Board of Quality Assurance Utilization review physicians.
- Successfully trained physicians and other healthcare providers to deliver evidence-based care and collect/report patient data while improving individual provider performance and patient satisfaction year after year.
- Reliance has successfully developed and led community health initiatives in Florida addressing healthcare disparities and issues related to delivering care to vulnerable populations, i.e. cultural competency, clinical trials, plus access to clean air and water.
