Banner Health, a nonprofit health care system, owns or manages acute-care hospitals, long-term care centers, and outpatient surgery centers in Alaska, Arizona, California, Colorado, Nebraska, Nevada, and Wyoming. The company offers hospital care, home care, hospice care, nursing, surgery, rehabilitation, and residential care services, including Alzheimer’s, bariatric surgery, behavioral health, burn, cancer, emergency care, heart care, insurance and Medicare, maternity, medical imaging, neuroscience and stroke, orthopedics, pediatric, physician, poison and drug information, research, high-order multiple birth, organ transplant, Level 1 trauma, sleep, surgical care, urgent and same day care, ...
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Cigna Corp. and Banner Health Network Join in Collaborative Accountable Care Effort in Arizona
Oct 17 12
Cigna Corp. and Banner Health Network are launching a collaborative accountable care initiative to expand patient access to health care, improve care coordination, and achieve the "triple aim" of improved health outcomes (quality), lower total medical costs and increased patient satisfaction. Collaborative accountable care is Cigna's approach to accomplishing the same population health goals as accountable care organizations, or ACOs. The program will benefit over 20,000 individuals covered by a Cigna health plan who receive care from among approximately 2,600 doctors affiliated with Banner Health Network in Arizona. Under the program, Banner Health Network doctors monitor and coordinate all aspects of an individual's medical care. Patients continue to go to their current physician and automatically receive the benefits of the program. Individuals who are enrolled in a Cigna health plan and later choose to seek care from a doctor in the medical group will also have access to the benefits of the program. There are no changes in any plan requirements regarding referrals to specialists. Patients most likely to see the immediate benefits of the program are those who need help managing chronic conditions, such as diabetes or heart disease. Critical to the program's benefits are registered nurses, employed by Banner Health Network, who 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 to a team of Cigna case managers to ensure a high degree of collaboration between Banner Health Network and Cigna that ultimately results in a better experience for the individual. The care coordinators will enhance care by using patient-specific data from Cigna to help identify patients being discharged from the hospital who might be at risk for readmission, as well as patients who may be overdue for important health screenings or who may have skipped a prescription refill. The care coordinators are part of the physician-led care team that helps patients get the follow-up care or screenings they need, identify any issues related to medications and help prevent chronic conditions from worsening. Care coordinators can also help patients schedule appointments, provide health education and refer patients to Cigna's clinical programs, such as disease management programs for diabetes, heart disease and other conditions; and lifestyle management programs, such as programs for tobacco cessation, weight management and stress management. This newest initiative, which takes effect November 1, 2012, builds on Cigna's collaborative accountable care efforts locally, including those of Cigna Medical Group, the Phoenix-based multi-specialty practice division of Cigna HealthCare of Arizona. Cigna Medical Group's strong focus on the patient and improved care coordination resulted in 24% lower avoidable emergency room visits, 14% higher adult preventive care and 8% to 10% lower total medical costs in 2011 compared to the Phoenix market. Cigna Medical Group doctors consistently receive patient satisfactions scores of 93% or higher. Including the Arizona programs, Cigna is now engaged in 42 collaborative accountable care initiatives in 18 states, encompassing more than 390,000 Cigna customers and more than 5,500 primary care physicians. Cigna launched its first collaborative accountable care program in 2008 and its goal is to have 100 of them in place with one million customers by the end of 2014.