Cigna has developed a new suite of value-based initiatives called Cigna
Collaborative Care that builds on the company’s successful Collaborative
Accountable Care (CAC) arrangements with large physician groups and
integrated delivery systems. Cigna Collaborative Care expands
value-based initiatives to include small physician groups, specialist
groups, and hospitals, in addition to large physician groups.
“The best way to achieve sustainable change in the health care system is
to reach all stakeholders through personalized connections,” said Chief
Medical Officer Alan M. Muney, M.D. “Cigna Collaborative Care enables us
to engage health care professionals and customers in ways that are
meaningful to them, which will help drive better health, affordability,
and experience.”
Cigna Collaborative Care is the company’s approach to accomplishing the
same population health goals as accountable care organizations, or ACOs.
It is based on rewarding health care professionals for value rather than
volume, and benefits customers and employers by promoting higher quality
of care and lower total medical costs. Cigna's existing arrangements
with large physician groups have shown great success, including:
-
3% better than market quality performance, on average1
-
3% better than market total medical cost, on average2
-
50% fewer unnecessary emergency room visits3
-
19% to 25% better compliance with diabetes measures4
-
21% more gaps in care closed5
While most industry efforts with accountable care organizations have
focused on large physician groups, Cigna’s research indicates that only
20 percent of customers with high-cost conditions or complex needs
receive care from these groups.6 In order to transform care
delivery in a meaningful manner, the industry must meet individuals
where they seek care.
To that end, Cigna has expanded Cigna Collaborative Care to include
health care professionals wherever they are in the health care delivery
system. In addition to large physician practices, the incentive-based
Cigna Collaborative Care includes:
-
Small physician groups including small private practices and
unorganized physician groups. These arrangements represent an
opportunity to help the 40 percent of Cigna customers with high-cost
conditions and complex needs that are treated by small physician
groups.7 Cigna has established arrangements on a pilot
basis with small physician groups in select markets.
-
Hospital arrangements designed to promote quality, efficiency
and safety for customers seeking hospital care. Research indicates
that 25 percent of customers with high-cost conditions or complex
needs are treated at a hospital each year.8 To date, Cigna
has established arrangements with more than 150 hospitals, and
continued development is planned for 2014.
-
Specialist groups focusing on the five specialties that account
for 57 percent of medical spending – orthopedics,
obstetrics-gynecology, cardiology, gastroenterology and oncology.9
Cigna launched orthopedic and maternity-focused arrangements in 2013,
with continued development in 2014.
Cigna's experience with large physician groups has been growing since
2008. There are currently 86 initiatives in 27 states, and Cigna is on
track to reach its goal of 100 in 2014. The clinical collaboration,
consultative guidance, patient-specific actionable information, and
performance reporting that Cigna brings to these collaborations with
large physician groups are critical to their success as enhancements to
the high quality of care they provide.
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company
dedicated to helping people improve their health, well-being and sense
of security. All products and services are provided exclusively by or
through operating subsidiaries of Cigna Corporation, including
Connecticut General Life Insurance Company, Cigna Health and Life
Insurance Company, Life Insurance Company of North America and Cigna
Life Insurance Company of New York. Such products and services include
an integrated suite of health services, such as medical, dental,
behavioral health, pharmacy, vision, supplemental benefits, and other
related products including group life, accident and disability
insurance. Cigna maintains sales capability in 30 countries and
jurisdictions, and has approximately 80 million customer relationships
throughout the world. To learn more about Cigna® including links to
follow us on Facebook or Twitter, visit www.cigna.com.
1 Cigna Collaborative Accountable Care, Large PCP Group
Results, 2013
2 Cigna Collaborative Accountable Care, Large PCP Group
annual results for 2012 versus market average (2013)
3 Cigna Collaborative Accountable Care, Large PCP Group
annual results for 2012 versus market average (2013)
4 Cigna Collaborative Accountable Care, Large PCP Group
Results, 2013
5 Cigna Collaborative Accountable Care, Large PCP Group
annual results for 2012 versus market average (2013)
6 Statistics based on Cigna internal analysis of book of
business high-cost customers (>$4,700/year) as of January 2014
7 Statistics based on Cigna internal analysis of book of
business high-cost customers (>$4,700/year) as of January 2014.
8 Statistics based on Cigna internal analysis of book of
business high-cost customers (>$4,700/year) as of January 2014
9 Statistics based on Cigna internal analysis of book of
business high-cost customers (>$4,700/year) as of January 2014
Copyright Business Wire 2014