About: Since entering Iowa’s first commercial health plan ACO in 2012, Wellmark Blue Cross and Blue Shield of Iowa has worked closely with health systems to design and implement a successful ACO shared savings payment model. This model includes: incentives for improving quality and lowering the rate of increase in the total cost of care; a workable attribution method; phased-in quality/performance metrics; the use of transparent, actionable data; and the incorporation of sustainability initiatives. This case study offers insights into the successful elements of the Wellmark initiatives, lessons learned, and next steps.

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