Noble Health Alliance Board Announces Decision to Dissolve the Organization - Crozer-Keystone Health System - PA

Published on April 19, 2016

Noble Health Alliance Board Announces Decision to Dissolve the Organization

Crozer-Keystone Health SystemMedia Contact:
Grant Gegwich
(610) 447-6316

Noble Health Alliance

Noble Health Alliance was founded in 2014.

The board of managers of Noble Health Alliance announced this morning its decision to dissolve the organization.

Noble Health Alliance was founded in 2014 and is currently co-owned by Crozer-Keystone Health System, Aria Health System and Einstein Healthcare Network. Through Noble, the three health systems have worked cooperatively to develop Accountable Care strategies to improve healthcare quality and lower costs.

“Each member of Noble remains committed to these goals,” said Kathleen Kinslow, chair of the Noble board of managers and chief executive officer of Aria Health System.  “However, as some Noble member health systems have entered into mergers or acquisitions, and considering the rapidly evolving healthcare market in the Philadelphia region, the board of managers believes that Noble Health Alliance is no longer the optimal model through which to achieve our quality and cost goals.”

Noble built an extensive network of primary care and specialist physicians, and employees (and dependents) of the three health systems were encouraged to use Noble providers. Employees of Aria, Crozer-Keystone, and Einstein will be able to continue accessing Noble-participating providers until the conclusion of their current benefit plan year. Physicians participating in the Noble Physician Network will not be affected by the dissolution of the Alliance. Noble will fulfill incentive payments due to eligible physicians for achieving quality goals during FY2016. Noble is also working with its 10-member staff on employment transition.

While most routine, daily business operations will cease by the end of June 2016, certain administrative functions related to the physician network will continue through the end of the year. Noble anticipates that full dissolution of the organization will be completed no later than Dec. 31, 2016. The Noble website ( will remain active until that time and will provide updated information as necessary.

Frequently Asked Questions

Why was Noble formed?

Noble was founded in 2014 as an innovative approach for its member health systems to work cooperatively on improving healthcare quality and lowering costs, initially among the employees of its founding health systems. Noble’s founding health systems remained independent of one another, even as they developed a single physician network. These types of networks (sometimes called Accountable Care, Clinically Integrated Networks, or Population Health Services Organizations) are a new way of providing care, and have been growing across the country. The Noble Health Alliance was among the first of its kind in the Philadelphia region.

Why is Noble Health Alliance being dissolved?

The Philadelphia-area healthcare market is complex and constantly evolving. As the Noble member health systems retained their independence from one another, several of them have also pursued new business partnerships with other organizations in both the non-profit and for-profit sectors. As these new relationships have developed, Noble’s board of directors decided that the Alliance is no longer the optimal model through which to achieve their quality and cost goals.

How will this affect physicians?

Noble’s dissolution does not affect any physician’s relationship with IBC or any other insurer. Employees using Tier One or Tier Two Noble providers can continue to do so under the terms of the current benefit plan. Noble developed a Shared Savings Program for which Primary Care clinicians within the network were eligible to receive incentive payments if they achieved certain quality goals. Noble will fulfill its commitments under that program for care provided in FY2016.

How will this change affect CKHS Health Plans?

The dissolution of Noble will have no short-term impact on the CKHS Advantage or Advantage PLUS Medical Plans.  Most employees receive care from Tier 1 providers (CKHS physicians who are also part of the Noble provider network) and that coverage option – and the requirement that a CKHS provider must also participate in the Noble Physician Network for Tier 1 coverage – will remain in place.  The Noble benefit tier (Tier 2) will not change. The provider website will be available through December 31, 2016. Any medical plan changes will be announced during Open Enrollment and will be effective Jan. 1, 2017.

What about employees in the Noble Care Management Program?

Any employees current enrolled in the Noble Care Management Program will continue to receive support as they are transitioned to their respective health system’s care management program. That transition should be completed by June 30, 2016.

What is the timing for Noble’s discontinuation?

Routine, daily business operations will cease by the end of June. Noble will continue to maintain its website (, its physician network, and certain administrative functions through Dec. 31, 2016. In addition, various contracts and vendor relationships will be concluded between now and the end of the year.

What about Noble employees?

Noble leadership is working with its employees on transition issues. In some cases, employees may return to the member health system where they were employed before joining Noble. Some may be placed with Lumeris, the management firm which has been providing operational and management support to Noble over the last several months.

How can I get more information?

The Noble website ( will remain operational and provide any updates about the Alliance’s discontinuation. The online physician directory will remain accessible until Dec. 31, 2016.

eNewsletter Signup

Our eNewsletters from Crozer-Keystone Health System help keep you up-to-date on your health and well being. View recent editions or sign up to receive our free eNewsletters.