Monarch Healthcare, contracted with more than 2,500 independent, private-practice physicians, is the largest physician organization in Orange County, serving approximately 170,000 patients. Recognized by health plans and business groups for providing high quality care and excellent service, Monarch is owned and operated by physicians who have demonstrated their commitment to advancing medical excellence. Monarch’s patient-first mission and vision is “helping physician partners advance medical excellence in the communities we serve.”
Parent Organization Specifications
Type: IPA/Medical Group
Legal Structure: Professional Corporation
Patients Served Annually: 170,000 managed care enrollees
Number Associated Hospitals: Six Partner Hospital Systems
Number of Hospital Beds: 2,762
System/EHR Capabilities: Practice Connect ® deployed; currently deploying NextGen
Other Reform Efforts: Anti-coagulation clinic, disease management program for diabetes, on-call certified clinical staff, medical home, and bundled payments
Clinical Transformation Tools: Ascender software, patient registries, clinical staff to monitor patient transitions
ACO Specifications
Governance Structure: Physician owned and governed
Legal Structure: Professional Corporation
Participating Payers in Year 1: Anthem, WellPoint
Date Initiated Discussions with Payers: June 2010
Year 1 Shared Savings Model: Shared Savings with some partial capitation
Quality Metrics Used in Year 1: Brookings-Dartmouth starter set; IHA metrics
ACO Primary Care Providers: 497
ACO Medical Specialists: 344
ACO Surgical Specialists: 210