Cigna Collaborative Care

What is Cigna Collaborative Care?

Cigna Collaborative Care is Cigna's approach to achieving the same population health goals as accountable care organizations (ACOs): better health, affordability, and experience. We work with health care providers across the care delivery spectrum, including large and small physician groups, specialist groups and hospitals. A Cigna Collaborative Care arrangement with a large physician group (which we previously called Collaborative Accountable Care) is a collaboration between Cigna and a physician practice that's responsible and accountable for the population it serves. The physician group must have a substantial primary care component, which can take any of the following forms:

  • A large primary care practice (examples: ProHealth Physicians in Connecticut, Medical Clinic of North Texas in the Dallas/Ft. Worth Metroplex)
  • A multi-specialty group (example: Holston Medical Group in northeastern Tennessee)
  • A fully integrated delivery system, including doctors and facilities (example: Piedmont Physicians Group in Atlanta)
  • A Physician Hospital Organization (example: HealthChoice in Memphis)
  • An Independent Physician Association/Independent Practice Association (example: Renaissance Physician Organization in Houston)

Regardless of practice type, the common thread is that the medical group must be willing to accept responsibility and accountability for achieving improved health, affordability, and patient experience.

The medical group is rewarded through a pay for value structure if it meets targets for improving quality and lowering medical costs.

A key component to these programs is the care coordinator – typically a registered nurse employed by the medical group who works with individuals, especially people with chronic conditions, to ensure they get the screenings and follow-up care they need and have access to educational materials that can help them manage their health. Care coordinators work closely with Cigna's case managers and help their patients access Cigna's clinical support programs, such as chronic condition management (diabetes, heart disease) and lifestyle management programs (weight, stress, tobacco).

What is Cigna Doing?

There are now more than 200 Cigna Collaborative Care arrangements with large physician groups in 32 states. These programs encompass:

  • More than 2.65 million commercial customers
  • More than 144,000 doctors (more than 81,000 primary care and nearly 63,000 specialists)

Map and Program List

Cigna has been at the forefront of the accountable care organization movement since 2008. In July 2014 we achieved our goal to have one million customers getting care through 100 of these arrangements with large physician groups.
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Cigna Collaborative Care for Specialists

Cigna Collaborative Care includes arrangements with medical practices specializing in cardiology, gastroenterology, obstetrics-gynecology, oncology, and orthopedics. Taken together, these five specialties account for 57 percent of medical spending. More.

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