Meridian Health Plan of Illinois Rewards Providers with $15M for Improved Health Outcomes
Meridian Health Plan of Illinois, a subsidiary of Centene Corporation (NYSE: CNC), has distributed $15 million in value-based care incentive payments to providers in 2024 for improving health outcomes among its 340,000 Medicaid members.
The company's value-based care model, involving 729 providers and measuring 39 performance metrics, demonstrated significant improvements including a 21% reduction in emergency room visits and 37% lower inpatient readmissions. Providers participating in value-based care contracts achieved up to 34% higher compliance rates in performance measures compared to non-participating providers.
Key improvements were observed in preventive care, with notable increases in well visits, cancer screenings, and chronic care management. The company collaborates with multiple healthcare partners and plans to expand value-based care arrangements in 2026.
Meridian Health Plan of Illinois, una controllata di Centene Corporation (NYSE: CNC), ha distribuito 15 milioni di dollari in pagamenti incentive per la cura basata sul valore ai fornitori nel 2024 per migliorare gli esiti sanitari tra i suoi 340.000 membri Medicaid.
Il modello di cura basata sul valore dell'azienda, che coinvolge 729 fornitori e misura 39 metriche di performance, ha mostrato miglioramenti significativi, tra cui una riduzione del 21% delle visite al pronto soccorso e 37% in meno di riammissioni ospedaliere. I fornitori che partecipano ai contratti di cura basata sul valore hanno ottenuto fino al 34% in più di conformità alle misure di performance rispetto ai fornitori non partecipanti.
Si sono osservati miglioramenti chiave nella prevenzione, con aumenti significativi nelle visite preventive, negli screening per il cancro e nella gestione delle cure croniche. L'azienda collabora con molteplici partner sanitari e prevede di espandere gli accordi di cura basata sul valore nel 2026.
Meridian Health Plan of Illinois, una subsidiaria de Centene Corporation (NYSE: CNC), ha distribuido 15 millones de dólares en pagos de incentivos de atención basada en el valor a los proveedores en 2024 para mejorar los resultados de salud entre sus 340.000 miembros de Medicaid.
El modelo de atención basada en el valor de la empresa, que involucra 729 proveedores y mide 39 métricas de rendimiento, mostró mejoras significativas, incluida una reducción del 21% en las visitas a emergencias y 37% menos readmisiones hospitalarias. Los proveedores que participan en contratos de atención basada en el valor lograron hasta un 34% más de tasas de conformidad con las métricas de rendimiento en comparación con los proveedores que no participaron.
Se observaron mejoras clave en la atención preventiva, con aumentos notables en visitas de bienestar, cribados de cáncer y manejo de la atención crónica. La empresa colabora con múltiples socios de atención médica y planea ampliar los acuerdos de atención basada en el valor en 2026.
Meridian Health Plan of Illinois, Centene Corporation (NYSE: CNC)의 자회사로서 2024년에 Medicaid 구성원 34만 명의 건강 결과를 개선하기 위한 가치 기반 치료 인센티브로 공급자들에게 $15 백만을 분배했습니다.
회사의 가치 기반 치료 모델은 729명의 공급자와 39개의 성과 지표를 포함하며, 응급실 방문 21% 감소, 입원 재입원 37% 감소를 포함한 큰 개선을 보여주었습니다. 가치 기반 치료 계약에 참여한 공급자들은 비참여 공급자에 비해 성과 지표의 최대 34% 더 높은 규정 준수율을 달성했습니다.
예방 치료에서의 주요 개선이 관찰되었으며, 건강 방문, 암 선별 검사, 만성 치료 관리에서 주목할 만한 증가가 있었습니다. 이 회사는 여러 보건 파트너와 협력하고 2026년에 가치 기반 치료 계약을 확대할 plans를 가지고 있습니다.
Meridian Health Plan of Illinois, une filiale de Centene Corporation (NYSE: CNC), a distribué 15 millions de dollars en paiements d’incitatifs de soins basés sur la valeur aux prestataires en 2024 pour améliorer les résultats de santé parmi ses 340 000 membres Medicaid.
Le modèle de soins basés sur la valeur de l’entreprise, impliquant 729 prestataires et mesurant 39 métriques de performance, a démontré des améliorations significatives, notamment une réduction de 21% des visites aux urgences et 30% environ de moins de ré admissions hospitalières. Les prestataires participant à des contrats de soins basés sur la valeur ont atteint jusqu’à 34% de meilleure conformité aux mesures de performance par rapport aux prestataires non participants.
Des améliorations clés ont été observées en matière de soins préventifs, avec des augmentations notables des consultations de bien-être, des dépistages du cancer et de la gestion des soins chroniques. L’entreprise collabore avec plusieurs partenaires de soins et prévoit d’étendre les accords de soins basés sur la valeur en 2026.
Meridian Health Plan of Illinois, eine Tochtergesellschaft von Centene Corporation (NYSE: CNC), hat im Jahr 2024 15 Millionen Dollar an Anreizzahlungen für wertorientierte Versorgung an Anbieter ausgeschüttet, um die Gesundheitsresultate ihrer 340.000 Medicaid-Mitglieder zu verbessern.
Das wertorientierte Versorgungsmodell des Unternehmens, das 729 Anbieter umfasst und 39 Leistungskennzahlen misst, zeigte signifikante Verbesserungen, darunter eine 21%-ige Reduktion der Notaufnahmen und 37% weniger stationäre Wiedereinweisungen. Anbieter, die an wertorientierten Verträgen teilnehmen, erreichten bis zu 34% höhere Compliance-Raten bei Leistungskennzahlen verglichen mit nicht teilnehmenden Anbietern.
Wesentliche Verbesserungen wurden in der Präventivversorgung festgestellt, mit deutlichen Zuwächsen bei Vorsorgeuntersuchungen, Krebs-Screenings und dem Management chronischer Erkrankungen. Das Unternehmen arbeitet mit mehreren Gesundheitspartnern zusammen und plant, wertorientierte Versorgungsvereinbarungen im Jahr 2026 auszuweiten.
Meridian Health Plan of Illinois، وهي شركة تابعة لـCentene Corporation (NYSE: CNC)، قامت بتوزيع 15 مليون دولار كمدفوعات حافز للرعاية القائمة على القيمة للموردين في عام 2024 لتحسين نتائج الصحة بين 340,000 عضو من Medicaid.
نموذج الرعاية القائمة على القيمة للشركة، الذي يضم 729 موردًا ويقيس 39 مقياس أداء، أظهر تحسينات كبيرة بما في ذلك انخفاض بنسبة 21% في زيارات قسم الطوارئ و<没?37% أقل في إعادة الإدخال إلى المستشفى. الموردون الذين يشاركون في عقود الرعاية القائمة على القيمة حققوا حتى 34% أعلى في معدلات الامتثال للمقاييس مقارنة بالموردين غير المشاركين.
لوحظت تحسينات رئيسية في الرعاية الوقائية، مع زيادات ملحوظة في زيارات التوعية الصحية وفحوصات السرطان وإدارة الرعاية المزمنة. تتعاون الشركة مع شركاء رعاية صحية متعددين وتخطط لتوسيع ترتيبات الرعاية القائمة على القيمة في 2026.
Meridian Health Plan of Illinois，是 Centene Corporation (NYSE: CNC) 的子公司，已在 2024 年向提供者发放 1500 万美元 的基于价值的护理激励支付，以改善其 34 万名 Medicaid 成员 的健康结果。
该公司基于价值的护理模型涉及 729 个提供者，并衡量 39 项绩效指标，显示出显著改善，包括急诊就诊减少 21%、住院再入院减少 37%。参与基于价值护理合同的提供者在绩效指标上的合规率最高可达 34%，明显高于未参与的提供者。
在预防护理方面也出现关键改进，体现在健康评估、癌症筛查和慢性护理管理的显著增加。该公司与多家医疗伙伴合作，计划在 2026 年扩大基于价值的护理安排。
- Distributed $15 million in value-based care incentive payments to providers
- 21% reduction in emergency room visits
- 37% lower inpatient readmissions
- Up to 34% higher compliance rates in performance measures for participating providers
- Significant improvements in preventive care metrics across multiple categories
- Large network coverage with 729 providers serving 340,000 members
- None.
Insights
Centene's $15M investment in value-based care shows promising ROI with significant reductions in costly emergency care utilization.
The $15 million Centene allocated to value-based care incentives through its Meridian subsidiary represents a strategic investment with promising returns. This approach demonstrates intelligent capital deployment in Illinois' Medicaid market, where Meridian serves 340,000 members. The program shows meaningful clinical and financial outcomes, particularly the
This model promotes preventive care utilization with substantial improvements across six key metrics, most notably a
The expansion of Meridian's value-based network to include major healthcare providers like Advocate Health Care, Cook County Health, and Ascension indicates successful scalability. The company's commitment to expanding risk-sharing arrangements in 2026 suggests confidence in the model's financial sustainability. For Centene shareholders, this represents a promising approach to managing Medicaid costs while improving clinical metrics - a challenging balance in the managed care sector. By incentivizing providers to reduce costly emergency interventions through preventive care, Centene potentially creates a financially sustainable model for Medicaid managed care that benefits its bottom line while improving health outcomes.
Meridian and its providers are increasing access to high-quality care for over 340,000 Medicaid members statewide through value-based partnerships, resulting in a
"At Meridian, we're committed to partnering with our providers to make healthcare more convenient, accessible, and impactful for our members," said Cristal Gary, Meridian Plan President and CEO. "Our data-driven, value-based care model empowers providers to proactively improve care delivery, reduce disparities, and drive better outcomes."
Value-based care models enable Meridian to empower providers with the tools, data, and support needed to deliver proactive, member-centered care that makes a meaningful difference. Meridian's
"At Diverge Health, we believe strong partnerships are the foundation of exceptional patient care. By working together with Meridian and primary care providers in a value-based model, we can deliver the highest quality care to underserved patients, ultimately strengthening communities from within," said Binoy Bhansali, CEO of Diverge Health, one of the providers currently participating in Meridian's value-based care programs.
Driving Measurable Health Improvements Through Data-Driven Provider Partnerships
Meridian evaluated the impact of its Medicaid value-based care model for 2024 using provider data and internal projections, encompassing 729 providers, 340,000 members, and 39 performance measures. The analysis revealed that providers participating in value-based care contracts achieved up to
These results reflect the effectiveness of Meridian's model in driving measurable improvements in care delivery and health outcomes, which include a
Among the 39 performance measures evaluated, several preventive and chronic care indicators showed marked improvements, with value-based care providers achieving significantly higher compliance rates than non-VBC providers (percentage point difference):
- Child and Adolescent Well Visits:
34% - Adult Access to Preventive Care Visits:
32% - Cervical Cancer Screenings:
21% - Breast Cancer Screenings:
20% - Kidney Health Monitoring for Diabetic Patients:
17% - Blood Pressure Control:
11%
These differences represent the percentage point improvements in compliance rates among VBC providers compared to their non-VBC counterparts, underscoring the model's effectiveness.
"At MHN ACO, we believe that strong, collaborative partnerships between healthcare providers and payors are essential to building a more effective, equitable, and outcomes-driven healthcare system. Value-based care models serve as a powerful catalyst — aligning care delivery, operational strategies, and financial incentives — to enable more personalized, coordinated, and data-informed care for the patients and communities we serve," said Yasin Patel, President & CEO of MHN ACO, LLC.
Collaboration with High-Performing Providers is Key
Meridian continues to work with a network of high-performing providers to improve care quality and expand access for its members.
"Participating in value-based care promotes patients' engagement and education on their personal health as the first priority, by aligning patient, provider, and payor interests," said Niraj Shah, MD, Primary Care Joliet medical co-director.
Among the value-based care partners currently working alongside Meridian in 2025 are:
- Access Community Health Network
- Advocate Health Care
- Apogee Health Partners
- Ascension
- CINQCARE
- Cityblock Medical Practice
- Community Health Care
- Cook County Health
- Diverge Health ACO
- Endeavor Health
- Family Medicine Specialists
- Illinois Health Practice Alliance
- Lurie Children's Health Partners
- Medical Home Network (MHN) ACO
- Sinai Health System/Progress Health
- Primary Care Physicians of
Joliet - Ravenswood Physician Associates
- Unified Primary Care Physicians Network
- UnityPoint Health
Meridian has set ambitious goals for continuing to expand value-based care arrangements with providers in 2026, including models that have shared savings or downside risk. To learn more about Meridian, visit ILmeridian.com.
About Meridian Health Plan of
Meridian Health Plan of
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FAQ
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