Shift in Payment Models Alters Physician Compensation
Cigna last week announced that the collaborative accountable care (CAC) program it launched in 2008 targeting large physician groups that also have a significant primary care component is now available to smaller physician groups, specialists, and hospitals.
Cigna's CAC program financially rewards practices for better care coordination, reducing medical costs, and meeting other quality targets. For this smaller group of practices, the initiative is called Cigna Collaborative Care, and it's currently being piloted at four groups in Texas, New York, Florida, and Connecticut.
Reagan Armata, product director for Cigna, says the large groups consisted of 20, 50, or 100 physicians or more; the smaller group practices that are part of the new Cigna Collaborative Care are "substantially smaller."
The insurer is going after the smaller market because it has found that only 20% of its members with expensive or complex medical conditions were going to the larger medical groups. "By meeting them where they are, we can work with physician groups regardless of their size in a variety of ways," says Armata.
Cigna's overall goal, which it says is on track to meet, is covering 1 million insured through 100 collaborative agreements by the end of 2014.
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