Cigna (NYSE: CI) continues to expand Cigna
Collaborative Care, its value-based physician engagement and
reimbursement model that uses incentives to help drive improved health,
affordability and patient experience. The company has more than 220 of
these arrangements nationally, mainly with primary care doctors, but
also with specialists
in the fields of obstetrics/gynecology, orthopedics, gastroenterology,
general surgery and cancer care.
Three medical practices have recently joined the cancer care initiative:
These arrangements support the medical practices’ commitment to follow
evidence-based medicine guidelines for cancer care, as well as their
efforts to expand access to daily acute care with same day appointment
availability, after-hours care and after-hours clinical advice,
including 24/7 access to clinical triage staff.
The three groups have each designated an oncology care coordinator to
assist patients and ensure their care is properly coordinated.
Cigna provides each group with a single point of contact – a
collaborative care associate – to assist the practices’ oncology care
coordinators with information about their patients’ Cigna medical
benefits. Additionally, Cigna offers oncology case management services
for customers and their families who might need additional education or
help coordinating resources outside of the oncology practice.
“We’ve had much success
with our collaborative care arrangements for large primary care
physician groups,” said Bhuvana Sagar, M.D., the Cigna medical director
who provides clinical oversight for the company’s oncology collaborative
care arrangements. “Now we’re applying that successful model – which
includes a care coordinator employed by the medical practices, and
incentives that compensate physicians for the value of the care they
deliver – to drive similar improvements in quality and cost of cancer
The care coordination component of Cigna Collaborative Care for cancer
treatment consists of multiple components, with the medical practices
managing the treatment and Cigna providing extra support and information
Comprehensive and collaborative education to enable patients and
caregivers to make informed decisions regarding treatment options
Routine symptom, disease status and functional assessments
Proactive care coordination, which includes inpatient management and
assistance with discharge planning for all hospital admissions, as
well as care planning and post therapy outreach
Hospice care coordination, which assists patients and families with
advanced care planning and palliative care services
Access and referral coordination, during which the oncologist and the
oncology care coordinator are the primary contacts for the patient
while in treatment, with 24/7 access to a practice affiliated clinician
Cigna Collaborative Care for cancer treatment is part of the company’s
commitment to have 50 percent of payments in alternative payment models
and 90 percent of payments in value-based arrangements by 2018. Other
specialty initiatives include episodes-of-care arrangements for
maternity care, hip and knee surgery, gall bladder surgery and
colonoscopy, as well as pay-for-performance maternity care arrangements.
Cigna also plans to launch episodes-of-care programs for cancer care and
Value-based arrangements come in a variety of forms that reward
physicians for the quality and the value of the care they provide. In a
pay-for-performance model, physicians are compensated for achieving
specific quality and cost targets. In an episodes-of-care arrangement,
they are compensated for all of the care they provide related to a
specific procedure – for example, a hip replacement – including a
defined time prior to the procedure, the procedure itself, recovery and
follow-up care for a defined time after the surgery.
Cigna also has value-based collaborative arrangements with 96 hospital
systems comprising more than 360 hospitals.
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.
Cedars-Sinai is a leader in providing high-quality healthcare
encompassing primary care, specialized medicine and research. Since
1902, Cedars-Sinai has evolved to meet the needs of one of the most
diverse regions in the nation, setting standards in quality and
innovative patient care, research, teaching and community service.
Today, Cedars-Sinai is known for its national leadership in transforming
healthcare for the benefit of patients. Cedars-Sinai impacts the future
of healthcare by developing new approaches to treatment and educating
tomorrow’s health professionals. Additionally, Cedars-Sinai demonstrates
a commitment to the community through programs that improve the health
of its most vulnerable residents.
About Northwest Georgia Oncology Centers, P.C.
Northwest Georgia Oncology Centers, P.C. (NGOC) is a recognized leader
and innovator of community-based cancer treatment and patient-centered
care. As the largest community-based, independent cancer practice in
Georgia with 10 cancer centers throughout Metro Atlanta, the NGOC team
is committed to sustaining and strengthening the accessibility, quality
and value of community-based medical oncology practices through
influencing public policy, national advocacy work, a robust clinical
trials program, and via partnerships like its newly formed alliance with
Cigna Collaborative Care. NGOC is one of the first oncology medical
homes in the nation to be accredited by the American College of Surgeons
Commission on Cancer based upon its excellence in the areas of patient
engagement, expanded access, evidence-based medicine, comprehensive
team-based care, and quality improvement. To learn more about the
advanced cancer treatment provided by the NGOC team, visit www.ngoc.com.
About Oncology Consultants
For over 33 years Oncology Consultants has been committed to providing
state-of-the art cancer treatment in a caring environment. Led by Dr.
Luis T. Campos, this 14 physician practice serves the Greater Houston
area by offering a broad range of cancer treatment programs including
Clinical Trials, Retail Pharmacy, Radiation Therapy, and Diagnostic
Imaging. Oncology Consultants is dedicated to treating our patients in
their communities. Through our 10 locations across the Houston area, we
strive to be highly accessible to our patients and those who care for
them. For more information please visit www.oncologyconsultants.com
or call 713.600.0900.
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