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Care Coordination

Care fragmentation is a consistent characteristic of the U.S. health care system. On average, Medicare patients see seven physicians at four practices. A staggering 75% of hospitalized patients are unable to identify the clinician in charge of their care.

COPC’s journey toward population health started in 1996 when 33 physicians from 11 practices merged. The decision was driven by need for new physicians who work exclusively in the hospital, called hospitalists, common medical records, professional administration, and the development of ancillary services.

In this Spotlight on Innovation case study, BMA highlights how Medicare Advantage facilitates care coordination at Iora Health, one of the innovative primary care practices in the country. The Iora Primary Care model for seniors over 65 years old is enabled by the value framework provided under Medicare Advantage.