Cigna and BayCare Health System Join in Collaborative Accountable Care Initiative, Sign Multiyear Network Agreement

  Cigna and BayCare Health System Join in Collaborative Accountable Care
  Initiative, Sign Multiyear Network Agreement

  *BayCare Health System hospitals and other facilities renew their
    in-network relationship with Cigna under new multiyear agreement
  *BayCare Physician Partners will be rewarded for improving patient health
    and lowering medical costs under new collaborative accountable care
    initiative
  *Consumers can benefit from improved care coordination and greater emphasis
    on preventive care

Business Wire

TAMPA, Fla. -- January 7, 2013

Cigna (NYSE:CI) and BayCare Health System are extending their long-standing
relationship through two new agreements that include the launch of a
collaborative accountable care initiative with BayCare Physician Partners and
a new three-year agreement for BayCare’s 10 hospitals and other affiliated
facilities to continue to be a part of Cigna's network through 2015. The new
agreements became effective January 1, 2013.

Collaborative accountable care is Cigna's approach to accomplishing the same
population health goals as accountable care organizations, or ACOs. The
Cigna/BayCare initiative is designed to expand patient access to health care,
improve care coordination, and achieve the “triple aim” of improved health
outcomes (quality), affordability and patient satisfaction.

“This new initiative with Cigna will help our doctors and their staffs to
practice medicine the way they want to practice – with a focus on using the
resources of BayCare and Cigna to improve both health outcomes and the patient
experience,” said Bruce Flareau, M.D., president, BayCare Physician Partners.
“And because BayCare hospitals will continue to be in Cigna's network, we can
offer even more closely integrated services when a patient needs outpatient or
inpatient care.”

The program will benefit approximately 13,000 individuals covered by a Cigna
health plan who receive care from among approximately 1,000 doctors affiliated
with BayCare Physician Partners practicing in some 320 Tampa-area locations.
BayCare Health System hospitals and other facilities will continue to be
available as an in-network option for all Cigna customers in Florida.

“This collaborative accountable care initiative is our first such program to
launch in the Tampa area, and we have the ideal clinical partner in BayCare,”
said Scott Evelyn, president and general manager of Cigna in Florida. “BayCare
shares our vision of changing the health care delivery system from one that
rewards volume of care to one that puts the patient at the center and rewards
quality of outcomes and value.”

Under the program, BayCare Physician Partners 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. 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 BayCare
Physician Partners, who are part of the physician-led care team and serve as
clinical care coordinators. They help patients with chronic conditions or
other health challenges navigate the health care system. For example, they
identify patientsdischarged from the hospital who might be at risk for
readmission, help patients get the follow-up care or screenings they need,
identify any issues related to medications and help prevent chronic conditions
from worsening.

The care coordinators use patient-specific data from Cigna to help them
identify patients in need of these services and are aligned to a team of Cigna
case managers to ensure a high degree of collaboration between BayCare and
Cigna that ultimately results in a better experience for the individual. Care
coordinators can also help patients schedule appointments, provide health
education and refer patients to the Cigna health management and wellness
programs that may be available to them through their employer’s benefit plan.

Physicians will be rewarded through a “pay for performance” structure if they
meet targets for improving quality and lowering medical costs.

Including the new Tampa-area program, Cigna is now engaged in 52 collaborative
accountable care initiatives in 22 states, encompassing nearly 510,000 Cigna
customers and more than 14,000 doctors, including more than 6,500 primary care
physicians and more than 7,500 specialists. 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.

About BayCare Health System

BayCare Health System is a leading community-based health system in the Tampa
Bay area. Composed of a network of 10 not-for-profit hospitals, outpatient
facilities and services such as imaging, lab, behavioral health and home
health care, BayCare provides expert medical care throughout a patient’s
lifetime. With more than 200 access points conveniently located throughout
Tampa Bay, BayCare connects patients to a complete range of preventive,
diagnostic and treatment services for any health care need.

BayCare’s family of hospitals are: Mease Countryside, Mease Dunedin, Morton
Plant, Morton Plant North Bay, St. Anthony’s, St. Joseph’s, St. Joseph’s
Children’s, St. Joseph’s Hospital-North, St. Joseph’s Women’s, and South
Florida Baptist. For more information, visit BayCare on the Web at
www.BayCare.org.

About BayCare Physician Partners

BayCare Physician Partners is a clinically integrated network designed for the
future of care. The network is a new model of care that brings physicians and
BayCare’s resources into a more clinically and financially aligned business
partnership. BayCare Physician Partners also has the flexibility to better
prepare participating physicians for changes to the nation’s health care
system driven by government reform. www.BayCarePhysicianPartners.com.

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 www.cigna.com.

Contact:

Cigna
Amy Turkington, 440-934-5385
amy.turkington@cigna.com
or
BayCare Health System
Amy Lovett, 727-519-1257
amy.lovett@baycare.org