Collaborative Accountable Care (CAC)
Cigna CEO David Cordani talks about accountable care video July 2012.
What is Collaborative Accountable Care?
• 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?Cigna is now engaged in 86 CAC initiatives in 27 states. These programs encompass more than;
• 35,000 doctors.
• 16,000 primary care physicians.
• 19,000 specialists.
• Cigna and Health Care Professionals
Cigna CAC Partnerships in the U.S.Cigna launched its first CAC program in 2008 and will achieve our goal to have 100 of them reaching one million customers in 2014.
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