Cigna Collaborative Care
Cigna CEO David Cordani talks about collaborative care video July 2012.
What is Cigna Collaborative Care?
- 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: Health Choice 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 191 Cigna Collaborative Care arrangements with large physician groups in 31 states. These programs encompass:
- More than 2.2 million commercial customers
- More than 84,000 doctors (more than 47,000 primary care and nearly 37,000 specialists)
Map and Program ListCigna 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.
- Full Year 2016 Results (pdf)
- Granite Healthcare Network Continues to Improve Quality and Lower Costs Through Cigna Collaborative Care Program (Feb. 2015) – Press release
- Brown & Toland Physicians Continues to Improve Quality and Lower Costs Through Cigna Collaborative Care Program (April 2015) – Press release
- Connecticut Medical Practices Improving Quality, Lowering Costs. (May 2015) – Press release
- Adventist Health Network. (August 2015) Press release
- Franciscan St. Francis Health. (August 2015) Press release
- Meritas Health. (October 2015) Press release
- WESTMED Medical Group. (October 2015) Press release
- Insurers Hit Technology Barriers in Building Value-Based Payment Models for Oncology. Health Plan Week, May 2017
- Measuring the Cost Implications of the Collaborative Accountable Care Initiative in Texas, American Journal of Managed Care, Sept 2016.