Pacific Business Group on Health Selects Cigna Medical Group for Medicare Grant

  Pacific Business Group on Health Selects Cigna Medical Group for Medicare

          Cigna’s Phoenix Clinics Part of First Implementation Round

Business Wire

PHOENIX -- December 07, 2012

Cigna Medical Group (CMG) today announced the Pacific Business Group on Health
(PBGH) has chosen CMG to participate in Wave I of its Intensive Outpatient
Care Program (IOCP) for Medicare beneficiaries.  The three-year program, which
is supported by a $19 million grant through the Centers for Medicare &
Medicaid Services’ (CMS) Center for Medicare and Medicaid Innovation (CMMI),
uses intensive coordinated care to achieve improved health outcomes among
high-risk patient populations and significantly reduce their cost of care.

CMG is an ideal candidate for the IOCP effort and was chosen in part because
of the many CMG programs that have earned positive results for commercial and
individual customers and which share the IOCP goals of improved patient
outcomes, better patient satisfaction and lower health care costs (triple
aim). Recently, CMG was part of a study in the leading policy journal Health
Affairs, which cited Cigna’s early successes with Accountable Care
Organizations (ACO). CMG is the medical group practice division of Cigna
HealthCare of Arizona, Inc., which holds the distinction of being the highest
rated Medicare Advantage plan in Arizona, with a 4.5 star rating from CMS.

“CMG has long focused on outcomes-based care and delivering the highest
quality health care to our Medicare patients in Arizona through personalized,
coordinated and preventive care,” said Edward Kim, president and general
manager of CMG. “The grant enhances our ability to achieve our patient care
goals while improving the affordability of care for high-risk individuals and
we are looking forward to the partnership with PBGH on this effort.”

Developed by Pacific Business Group on Health Medical Director, Dr. Arnie
Milstein and a team of caregivers, the Intensive Outpatient Care Program has
been piloted by PBGH member organizations. The model has shown it can reduce
health care costs for chronically ill patients by as much as 20 percent and
has been written about extensively.

The IOCP uses well trained care managers embedded in high-performing primary
care teams to develop close relationships with medically complex patients. The
IOCP will deliver highly individualized and accessible primary care, based on
treatment goals that are specific to each patient. The goal is to engage the
patients in intensive care management to improve patient self-management,
patient experience and clinical outcomes. This should result in better
mitigation of disease, reduced complications, reduced avoidable
hospitalizations and emergency room visits.

“Coordinated care is a proven delivery model, and the IOCP grant affords an
opportunity to realize its full potential for patients needing it most,” said
Dr. Arnie Milstein, Professor of Medicine at Stanford University and Medical
Director of PBGH. “PBGH is pleased to partner with CMG to make a positive
impact on the health of patients in Arizona.”

The Innovation Grant will enable PBGH and CMG to implement and enhance
intensive care management for high-risk Medicare beneficiaries. The goal is to
reduce the total cost of care for these beneficiaries while improving their
health outcomes and patient-reported experience annually.

In participating in the IOCP, CMG will employ its new CustomCare program to
help patients obtain intensive outpatient care fortheir chronic conditions,
such as heart disease, diabetes and chronic obstructive pulmonary disease, at
the doctor’s office or at home when necessary. CustomCare is also designed to
assure that patients get the care they need quickly after a hospital
admission. The commonalities and shared goals of the IOCP and CustomCare
program will ensure seamlessness for customers and complementary efficiency
and effectiveness.

PBGH plans to select 20 organizations as part of the IOCP program and CMG is
one of the 10 organizations selected for the first round of implementation,
planned to go live in June 2013. CMG estimates 10 percent of its Medicare
customers will be involved in the IOCP effort.

“CMG’s involvement in this important program underscores Cigna’s dedicated
focus to quality care and the triple aim and recognizes our continued
commitment to our customers to deliver the best possible health care,” said
Matt Manders, president of regional and operations for Cigna.

About PBGH

Founded in 1989, Pacific Business Group on Health (PBGH) is one of the
nation's leading non-profit business coalitions focused on health care. We
help leverage the power of our 50 large purchaser members who spend 12 billion
dollars annually to provide health care coverage to more than 3 million
employees, retirees and dependents in California alone. PBGH works on many
fronts to improve the quality and affordability of health care, often in close
partnership with health insurance plans, physician groups, consumer
organizations, and others concerned about our health care system.

About the Center for Medicare and Medicaid Innovation Grants

Made possible by the health care law – the Affordable Care Act – the awards
will support projects nationwide that are designed to deliver high quality
medical care, improve patient experience, enhance the health care workforce
and reduce health care costs. Combined with the initial awards already
announced, HHS has now made awards to 107 projects that have the potential to
save the health care system an estimated $1.9 billion over the next three
years. Awardees were chosen for their innovative solutions to the health care
challenges facing their communities and for their focus on creating a
well-trained health care workforce that is equipped to meet the need for new
jobs in the 21st century health system. The Centers for Medicare & Medicaid
Services (CMS) contracted with an external organization with extensive
experience in managing independent grant review processes to administer the
award review process to ensure an objective review of each application. The
Center for Medicare and Medicaid Innovation within CMS will administer the
awards through cooperative agreements over three years.

About Cigna

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 approximately 71 million customer relationships throughout the world.
To learn more about Cigna®, including links to follow us on Facebook or
Twitter, visit

About Cigna Medical Group

Cigna Medical Group (CMG), the group practice division of Cigna HealthCare of
Arizona, Inc. is an NCQA-recognized Patient-Centered Medical Home and one of
the Valley's largest multi-specialty group practices with 23 health care
centers and two convenience care clinics located throughout metropolitan
Phoenix. Each health care center is equipped with several medical services
under one roof, so additional diagnostic needs such as lab work, imaging—even
prescriptions—can be quickly obtained. CMG is also the group medical practice
for Cigna HealthCare of Arizona's Medicare Advantage Plan*, the highest-rated
plan in Arizona, with 4.5 out of 5 stars for 2013 by *Plan
performance summary star ratings are assessed each year and may change from
one year to the next.

The project described was supported by Funding Opportunity Number
CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for
Medicare and Medicaid Innovation. Its contents are solely the responsibility
of the authors and do not necessarily represent the official views of HHS or
any of its agencies.


Cigna Corporation
Graham Harrison, 615-234-6710
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