Cigna Collaborative Accountable Care Program - Patient Physician Network

Program Location: 
Plano, TX
Payer Type: 
Commercial
Payers: 
Cigna
Description: 

Cigna and Patient Physician Network  (PPN) have launched a collaborative accountable care  initiative to improve patient access to health care, enhance care coordination, and achieve the “triple aim” of improved health, affordability and patient experience. The program became effective October 1, 2013 and is Cigna's fourth accountable care initiative in the Metroplex.

Collaborative accountable care is Cigna's approach to accomplishing the same population health goals as accountable care organizations, or ACOs. The program will benefit more than 6,000 individuals covered by a Cigna health plan who receive care from PPN’s 75 primary care doctors and specialists.

Under the program, PPN will monitor and coordinate all aspects of an individual’s medical care. Patients will continue to go to their current physician and automatically receive the benefits of the program.

Critical to the program’s benefits are registered nurses, employed by PPN, who will serve as clinical care coordinators and help patients 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 group and Cigna, which will ultimately provide a better experience for the individual.

Payment Model: 

Cigna will compensate Patient Physician Network for the medical and care coordination services it provides. Additionally, the medical group may be rewarded through a “pay for performance” structure if it meets targets for improving quality and lowering medical costs.

Last updated April 2014
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