- Customers benefit from improved care
coordination and greater emphasis on preventive care
- Doctors are rewarded for improving
patient health and lowering medical costs
- Cigna now has nine collaborative care
programs in Colorado covering 170,000 customers
Cigna (NYSE: CI) has launched two different collaborative care
programs with doctors affiliated with Colorado Health Neighborhoods
and Rose Integrated Health Network. These programs improve
access to health care, enhance care coordination, and
achieve the goals of improved health, affordability
and customer experience.
Cigna Collaborative Care is the company’s approach to
accomplishing the same population health goals as accountable
care organizations, or ACOs. The programs will benefit
more than 40,000 individuals covered by a Cigna health plan who
receive care from more than 700 primary care doctors and
specialists affiliated with Colorado Health Neighborhoods and more
than 250 primary care doctors and specialists with Rose Integrated
Health Network. With the addition of these groups, Cigna's network
has expanded to include nine collaborative care initiatives in
Colorado serving 170,000 customers.
In places where it’s been introduced, Cigna Collaborative Care
is helping to improve the health of Cigna customers while
effectively managing medical costs. The programs are helping to
close gaps in care, such as missed health screenings or
prescription refills, reinforcing the appropriate use of hospital
emergency rooms, increasing the number of preventive health visits
and improving follow-up care for people transitioning from the
hospital to home.
“We are pleased to partner with Cigna and remain committed to
working with partners that align with our efforts to enhance care
coordination and manage costs through our emphasis on wellness and
prevention," said John Suits, executive director, Colorado Health
Neighborhoods. “We are working to optimize health value and ACO
programs such as Cigna Collaborative Care help us to ensure
consumers receive the right care in the right place at the right
time.”
"In our current health care environment we are all faced with
rising costs,” said Timothy Dudley, MD, medical director, Rose
Integrated Health Network. “Working more collaboratively with Cigna
will provide our physicians the cost and quality data they need to
deliver the best care possible along with the most value."
“Over the past three and a half years, we’ve seen substantial
growth across our collaborative care initiatives, mainly a result
of our longstanding relationships with health care professionals
dedicated to providing quality care and putting the individual
first,” said Mark Laitos, MD, senior medical executive for Cigna's
Mountain States region. “We are thrilled to add Colorado Health
Neighborhoods and Rose Integrated Health Network to our growing
portfolio. By working together, we are helping create a new
delivery system that is focused on quality of care, rather than
volume of service.”
Under the program, Colorado Health Neighborhoods and Rose
Integrated Health Network will monitor and coordinate all aspects
of an individual’s medical care. People will continue to go to
their current physician and automatically receive the benefits of
the program. Individuals who are enrolled in a Cigna health plan
and later choose to seek care from a physician affiliated with
either organization will also have access to the benefits of the
program. There are no changes in any plan requirements regarding
referrals to specialists. Individuals most likely to see the
immediate benefits of the program are those who need help managing
chronic conditions, such as diabetes, heart disease and
obesity.
Critical to the program’s benefits are the registered nurse
clinical care coordinators, employed by Colorado Health
Neighborhoods and Rose Integrated Health Network, who will help
individuals with chronic conditions or other health challenges
navigate the health care system. The care coordinators are aligned
with a team of Cigna case managers to ensure a high degree of
collaboration between the medical groups and Cigna, which will
ultimately provide a better experience for the individual.
The care coordinators enhance care by using data from Cigna to
help identify individuals being discharged from the hospital who
might be at risk for readmission, as well as those who may be
overdue for important health screenings or who may have skipped a
prescription refill. The care coordinators are part of the
physician-led care team that will help people get the follow-up
care or screenings they need, identify potential complications
related to medications and help prevent chronic conditions from
worsening.
Care coordinators can also help people schedule appointments,
provide health education and refer individuals to Cigna's clinical
support programs, such as disease management programs for diabetes,
heart disease and other conditions; and lifestyle management
programs, such as programs for tobacco cessation, weight management
and stress management.
Cigna will compensate both organizations for the medical and
care coordination services they provide. Additionally, the groups
may be rewarded through a “pay for value” structure if they meet
targets for improving quality and lowering medical costs.
Cigna has been at the forefront of the accountable care
organization movement since 2008 and now has 134 Cigna
Collaborative Care arrangements with large physician groups. They
span 29 states, reach nearly 1.5 million commercial customers and
encompass nearly 60,000 doctors, including approximately 30,000
primary care physicians and 30,000 specialists.
About Colorado Health Neighborhoods
Colorado Health Neighborhoods (CHN) is a physician-led network
of independent affiliated and employed providers partnering with
Centura Health to develop a high-performance network that delivers
optimal health care value to consumers. The network’s more than
3,300 physicians and other health care professionals care for more
than 175,000 lives across Colorado. Leveraging a partnership with
Centura Health, the region’s leading health care system, CHN has
the resources to deliver on its vision for the future of health
care. Visit mychn.org for more information.
About Rose Integrated Health Network
Rose Medical Group and Rose Integrated Health are 650 physician
IPA geographically distributed in the Denver Metro area. RMG and
RIHN’s purpose is to coordinate the delivery of high quality,
affordable health care services through a physician-governed,
market responsive, network which brings value to our independent
physician members. RMG and RIHN add value to the physician members,
the insurance carriers, and our medical office product
partners.
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 more
than 89 million customer relationships throughout the world. To
learn more about Cigna®, including links to follow us on Facebook
or Twitter, visit www.cigna.com.
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version on businesswire.com: http://www.businesswire.com/news/home/20151119006404/en/
CignaMichelle Vroom, 267-606-5822michelle.vroom@cigna.com
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