Cigna Collaboration Helps Santa Clara County IPA (SCCIPA) Improve Quality and Lower Costs
May 30 2019 - 1:30PM
Business Wire
The latest results from a collaboration between Cigna and Santa
Clara County IPA (SCCIPA) show that the program continues to drive
better health care quality for nearly 18,000 Silicon Valley
residents while achieving significantly better affordability.
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SCCIPA enhances care by using patient-specific data from Cigna
to help identify individuals being discharged from the hospital who
might be at risk for readmission, as well as people who may be
overdue for important health screenings or who may have skipped a
prescription refill. The physician-led care team also helps
patients get the follow-up care or screenings they need, identifies
potential complications related to medications and helps prevent
chronic conditions from worsening.
While SCCIPA already beats the market in affordability with
total medical costs that are 18 percent below market average, the
medical group’s cost trend was 2.6 percent lower than the market
trend during the period ending Sept. 30, 2018.
At the same time, the group’s quality score improved by double
digits – nearly 20 percentage points, led by better care of
patients with cardiac conditions, diabetes, depression and those
requiring specific preventive screenings.
Numerous factors contributed to SCCIPA’s strong performance
results compared to the market, including:
- Hospital readmissions were 23 percent
lower than market
- Inpatient admissions among all services
were 10 percent lower than market
- Emergency room visits were 9 percent
lower than market
- Advanced imaging (CT scans and MRIs)
were used 32 percent less than market
- Inpatient total medical cost (per Cigna
customer per month) was 20 percent lower than market
“As a risk-bearing network of more than 800 physicians, we’re
very pleased with these positive results,” said John Kersten Kraft,
M.D., president of SCCIPA. “SCCIPA is devoted to improving the
measurable quality of medical intervention received by our patients
while controlling the cost of their care. We value our strong and
exceptionally collaborative relationship with Cigna. Without this
relationship, these results could not be achieved. Together, we are
having a very positive impact on the health of our patients.”
“When health plans and health care providers work together
toward a common goal, the result is better health and affordability
for the people we jointly serve,” said Ken Phenow, M.D., M.P.H,
market medical executive for Cigna in Northern California. “We
congratulate Santa Clara County IPA for its laser focus on quality
improvement that drove these outstanding results.”
Since Cigna began collaborating with SCCIPA in 2014, the group
has demonstrated some of the most consistent performance, not only
among other medical groups in Northern California and Cigna's
Western Region, but also among the more than 225 Collaborative Care
arrangements Cigna has with provider groups nationwide. In 2018,
SCCIPA was the top performing Cigna Collaborative Care group
nationally.
In addition to its Collaborative Care arrangement with Cigna,
SCCIPA is also part of an alliance between Cigna and Good Samaritan
Health System, which includes Regional Medical Center of San Jose
and Good Samaritan Hospital. The alliance launched in January 2018
and offers a customized network of primary care doctors,
specialists and hospitals that provide high value care.
About Santa Clara County IPA
Santa Clara County IPA (SCCIPA) has been providing exceptional
healthcare services for more than 30 years. More than 240 primary
care physicians and 600 specialists are focused on delivering the
highest quality of care, while driving lower cost of care for more
than 90,000 members of major HMOs, PPOs, ACOs and Medicare
Advantage programs. SCCIPA’s mission is to connect patients to
independent doctors who are passionate about providing personalized
care. The diverse network includes access to 13 urgent care
centers, 10 hospitals, radiology, clinical labs, physical
therapists, and case managers dedicated to providing care with a
purpose. SCCIPA offers a multitude of services for members and is
known for its Care Concierge program. The program is led by a team
of clinicians and is designed to engage patients and promote
healthy habits, behavioral change, improved health, and ultimately
lower cost of care by helping members be at their best. Visit
www.sccipa.com.
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company
dedicated to improving the health, well-being and peace of mind of
those we serve. Cigna delivers choice, predictability,
affordability and quality care through integrated capabilities and
connected, personalized solutions that advance whole person health.
All products and services are provided exclusively by or through
operating subsidiaries of Cigna Corporation, including Cigna Health
and Life Insurance Company, Connecticut General Life Insurance
Company, Life Insurance Company of North America, Cigna Life
Insurance Company of New York, Express Scripts companies or their
affiliates. 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 over 30 countries and jurisdictions,
and has more than 160 million customer relationships throughout the
world. To learn more about Cigna®, including links to follow us on
Facebook or Twitter, visit www.cigna.com.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20190530005099/en/
Mark SlittCigna860.226.2092Mark.Slitt@cigna.com
Janet Doherty PulliamPacific Partners Management Services,
Inc.650.358.5715jpulliam@ppmsi.com
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