The Austin Regional Clinic is a 300-physician multispecialty medical group founded in 1980. The Seton Healthcare Family's 38 clinical locations include 5 major medical centers, 2 community hospitals, 3 rural hospitals, an inpatient mental health hospital, 3 primary care clinics for the uninsured, and several strategically located health facilities that provide ambulatory care. It is jointly governed by the Seton Healthcare Family, the Austin Regional Clinic, and community representatives (including physicians, patient representatives, and a consumer advocate). The Seton Health Alliance is a wholly owned subsidiary of the Seton Healthcare Family. The Seton Health Alliance is a partnership between the Seton Healthcare Family in Austin and the Austin Regional Clinic. The Genesys PHO has a history of successful risk-sharing performances such as participation in the Blue Cross Blue Shield of Michigan's Physician Group Incentive Program established to encourage physician organizations and medical groups to take responsibility for facilitating transformational changes in health care delivery that improve population-level performance. It is one of the few PHOs in the nation to receive certification from the National Committee of Quality Assurance in credentialing. The Genesys PHO assumes risk for over 70,000 lives. It performs delegated concurrent and retrospective review of utilization management functions on behalf of its contracted health maintenance organization payers. The Genesys PHO has expertise in medical management through the development and implementation of patient-centered medical homes, Web portals, nurse navigators, and hospitalist programs. The Genesys PHO, which was formed in 1994, currently has 160 primary care physicians, a closed panel of approximately 400 specialists, and one 410-bed tertiary care hospital servicing 5 counties in Michigan. 1 Both organizations represent collaborative efforts between physicians and hospitals but are structured in different ways. Two systems within Ascension Health were selected as Pioneer ACOs by the CMS, the Seton Health Alliance 1 and the Genesys PHO. Ascension Health is the largest nonprofit health care delivery system in the United States, delivering care at more than 1400 locations including 81 hospitals in 21 states and the District of Columbia with more than 685,000 total annual discharges.
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