Cigna Collaborative Care Arrangements with OB/GYN Practices in Florida and Texas Show Early Success
- Value-based initiative uses incentives to engage OB/GYN doctors and help drive improved health, affordability and experience
- Aims to reduce primary cesarean deliveries and early deliveries for non-medical reasons, increase use of generic drugs
- Focus includes identification and referral of at-risk pregnant women, maternal mental health
Through collaboration between medical practices and
The OB/GYN practices participating in the program are compensated with a patient care management payment that rewards them for meeting a comprehensive set of quality and cost efficiency targets. The payment varies based on how well the group performs. The expectation is that OB/GYN practices that meet their targets will have better quality scores and better cost efficiency than other OB/GYN practices in their markets.
After its first year participating in the program, Women’s Care Florida, with offices in
- 15.2 percent improvement in its primary cesarean delivery rate
- 6.4 percent improvement in generic dispensing rate
- 3.7 percent rate for early elective deliveries, better than national rate of five percent
“We are pleased to participate in this collaboration with Cigna,” said
After its first year participating in the program, Southwest Women’s
- Improved total medical cost performance by three percent
- 7.6 percent improvement in generic dispensing rate
- 93 percent overall satisfaction in patient satisfaction survey
- 9.5 percent improvement in site of service rate for outpatient procedures, through safe and efficient shifting of site of service for select gynecologic surgical procedures, which lowered costs while maintaining quality
"I am proud of the commitment our doctors made in this pilot project to make women's health care in
“The Cigna Collaborative Care model demonstrated our ability to help large primary care physician groups improve the quality and cost of care,” said
When the company started Cigna Collaborative Care for large primary care physician groups in 2008, the program consisted of one pilot that expanded to several more pilots within a few years. “We learned from those early efforts and used that knowledge to build a very successful program that now encompasses more than 120 physician practices in 29 states. We hope to have similar success with OB/GYN groups and other specialty medical practices,” Keats said.
About
About Women’s Care Florida
Women’s
About Southwest Women’s
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