Southern California Integrated Care Network – Ventura County

California

Southern California Integrated Care Network–Ventura County (SCICN-VC) has grown an impressive 25% in participating providers since 2017. The network manages more than 23,000 lives, and is the exclusive Tier 1 network for the employees of St. John’s Regional Medical Center and St. John’s Pleasant Valley Hospital.

SCICN-VC has joined the other California clinically integrated networks and Dignity Health Medical Foundation physicians from California and Nevada to form the Dignity Health Care Network (DHCN). This new entity is participating in the CMS Medicare Shared Savings Program as a Basic Track, “Level A” Accountable Care Organization (ACO).

SCICN-VC’s Medicare ACO performance in MIPS was positive in both 2017 and 2018. Its 2018 scores improved to 100 points, up from 92.76 points in 2017, earning its participants a positive payment adjustment of 1.68%.

The network also participates in commercial ACO PPO contracts with United Healthcare, Blue Shield, Anthem and the Dignity Health Ventura Medical Plan. SCICN-VC earned $86,230 in shared savings in the first performance year of their Blue Shield ACO PPO contract.

Quality Highlight:

SCICN has focused on aligning with its local Dignity Health hospitals in supporting patients in transitional care management. The SCICN Care Coordination team performs outreach to patients, ensuring they have follow-up visits scheduled and addressing any barriers a patient may be facing. In 2019, SCICN’s Care Coordination team performed more than 4,000 transitional care outreach calls. The Coordination team also works closely with the network’s participating physicians, meeting in their offices to help educate and identify appropriate patients for the voluntary Care Coordination program.