Like healthcare organizations elsewhere, reducing readmissions had become a top priority by 2011. Advocate, the state’s largest healthcare provider, had just signed its first shared savings agreement with Blue Cross Blue Shield of Illinois to become one of the first commercial accountable care organizations (ACOs) in the country. This event, along with others such as signing up as a Medicare Shared Savings Provider, led to re-evaluating the care continuum throughout Advocate Health’s 250 sites of care, including 13 acute-care hospitals, two children’s hospitals and a growing home healthcare division.
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