Cigna Corp. and Health Choice, a physician-hospital organization that includes Methodist LeBonheur Healthcare, Memphis, Tenn., announced in a news release plans to form a version of an accountable care organization covering 17,000 lives.
Cigna announces Tenn. accountable care effort
The effort includes 29 physicians at seven Memphis-area practices. Cigna members who later choose one of these doctors also will have access to the initiative, according to the release. Patients will see no change regarding their primary-care physician or referrals to specialists. Registered nurses will act as clinical-care coordinators, especially for patients who have chronic conditions and those recently discharged from a hospital stay who are at risk of readmission, according to the release.
Physicians will receive their regular payments and will be eligible for pay-for-performance rewards based on improving quality and lowering costs, according to the release.
The Bloomfield, Conn., insurer calls its version of an ACO a collaborative accountable care initiative. Its agreement with Health Choice gives it 15 such initiatives in 13 states.
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