Cigna Launches New Company to Deliver Proven Systems, Capabilities and Management Services to More Health Care Providers
June 09 2016 - 9:00AM
Business Wire
- CareAllies, Inc., combines assets and
talent from Cigna, Cigna-HealthSpring and QualCare Alliance
Networks, Inc. (QANI)
- Will enable health care provider
success under a variety of value-based and risk-sharing models
- Goal is better health care quality and
affordability for patients
The nation’s health care system is moving from volume to value,
yet it remains fragmented and complex. Health care providers are
facing increased pressure to move from fee-for-service to
value-based payment, yet current market solutions to accelerate
this journey have been criticized as too rigid to meet complex
provider needs. Cigna (NYSE: CI) has partnered with health care
providers for many years to help them align their financial
incentives with patient health outcomes, resulting in joint success
through shared risk.
Cigna is now assembling assets, resources and talent from across
the enterprise to create a new service company that will work
closely with more provider organizations of all types to help them
focus on improved patient outcomes and achieve better health care
quality and affordability for the populations they serve.
The new company, CareAllies, Inc., will deliver the systems,
capabilities and management services that providers need to be
successful under a variety of value-based and risk-sharing models
across the value-based reimbursement spectrum. CareAllies will
offer services to help ease providers’ administrative burden across
payers and can even help providers launch and manage their own
health plans.
The new CareAllies will combine assets from Cigna,
Cigna-HealthSpring’s management services division for independent
physician associations (IPAs), and QualCare Alliance Networks, Inc.
(QANI), which Cigna acquired in 2015. It will leverage these
companies’ extensive histories of successful and innovative
provider collaborations. Dr. Julian Harris has been named president
of CareAllies, Inc., which will operate as a wholly-owned
subsidiary of Cigna.
“Our aim is to enable all of our provider clients to succeed in
an extremely competitive and disruptive health care environment,”
Harris said. “Whether a provider’s business is focused on
commercial, Medicare, or Medicaid patients, the new CareAllies has
the know-how and patient health engagement experience to help
deliver better quality and financial outcomes as providers navigate
the transition to value-based payment.”
CareAllies will focus on advisory and management services,
technology, and analytics, which are all fundamental to
transforming physician practices and delivery systems as they move
from volume to value. Not all providers will need the full suite of
services, however.
“We will meet provider organizations where they are with the
services and capabilities they need,” Harris said. “Some will need
us to provide or build core capabilities, and we will also work
collaboratively with provider clients that already have those
capabilities in place to help them achieve greater physician
alignment and clinical integration.”
Cigna has been a leader in the accountable care organization
(ACO) and volume-to-value movements since 2008 and now has 150
Cigna Collaborative Care arrangements with large physician
practices. Earlier this year, Cigna started a joint venture
arrangement with St. Joseph Hoag Health to offer HMO and exclusive
provider organization (EPO) plans in Orange County, Calif. Through
another joint venture agreement, Cigna is collaborating with Seton
Health Plan to introduce a group health plan in Austin and Waco,
Texas.
Cigna-HealthSpring, which Cigna acquired in 2012, is a leader in
helping doctors participate in value-based care and has management
agreements with more than 40 IPAs. It helps prepare them not only
to share the incentives they earn for delivering better care at a
lower cost, but also to assume greater financial risk while
improving patient health outcomes across a variety of products and
payers.
For nearly 25 years, QANI has worked with and for hospitals,
physicians and health systems through the development of
private-label, multi-tiered health plans for both the commercial
and Medicare markets. Its modular, plug-and-play operating platform
helps providers evolve their practice and business models to meet
local market needs, and its analytic tools support providers as
they transition to value-based care.
The establishment of the new CareAllies will enable these and
other collaborations with a variety of health care provider
organization types at varying levels of organizational
maturity.
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 90 million customer relationships throughout the world. To
learn more about Cigna®, including links to follow us on Facebook
or Twitter, visit www.cigna.com. For more information about
CareAllies, Inc., visit www.careallies.com.
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Cigna CorporationMark Slitt,
860-226-2092mark.slitt@cigna.com
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