Two Health Provider Organizations in Texas Join Cigna’s ‘Collaborative Care Program’ | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Two Health Provider Organizations in Texas Join Cigna’s ‘Collaborative Care Program’

July 9, 2014
by John DeGaspari
| Reprints
Care coordinators use patient specific data supplied by the insurer to enhance care

Two Texas provider organizations have joined Cigna’s Collaborative Care program, which the insurer says is aimed at improving patient access and enhancing care coordination, according to the insurer. The programs both became effective July 1, with a total of 11 Cigna collaborative care arrangements in Texas.

The two providers are Austin Diagnostic Clinic, located in Austin (3,500 individuals covered by a Cigna health plan who are cared for by 120 primary care doctors and specialists), and St. Joseph Health System in Bryan, Texas (3,500 individuals covered by a Cigna health plan who are cared for by 120 primary care doctors and specialists).

Under the program, the provider organizations monitor and coordinate all aspects of the individuals’ medical care. Registered nurse clinical coordinators employed by the provider organizations help patients with chronic conditions and other health issues navigate the health system; the care coordinators are also aligned with Cigna case managers for better collaboration between the provider and the payer, according to Cigna.

The care coordinators use patient-specific data to help identify patients being discharged who might be at risk of readmission, as well as patients who may be overdue for health screenings or who may have skipped a prescription refill. The care coordinators are part of a physician-led care team that can help get follow-up dare or screenings, identify potential problems related to medications, and help keep chronic conditions in check, according to the insurer. Care coordinators also help schedule appointments, provide health education, or refer patients to Cigna’s clinical support programs.

Cigna will compensate the provider organizations for the medical and care coordination services that doctors provide, and the provider organizations may also be rewarded through the insurer’s “pay for value” structure for meeting quality and cost targets.


Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Geisinger National Precision Health Hires Illumina Exec to Lead Business Development

Integrated health system Geisinger has hired a high-profile genetic counselor to head up business development for Geisinger National Precision Health, which was created to extend the Geisinger model on the national scene.

$30M VC Fund Launched to Spur Innovation in Cardiovascular Care

The American Heart Association, together with Philips and UPMC, has announced the launch of Cardeation Capital, a $30 million collaborative venture capital fund designed to spur healthcare innovation in heart disease and stroke care.

Epic Wins Labor Dispute in Closely Divided Supreme Court Decision

Epic Systems Corporation won a major labor-law ruling in the Supreme Court on Monday, centering around the extent of corporations’ right to force employees to sign arbitration agreements, and with a 5-4 ruling in its favor

Survey: Two-Thirds of Physician Practices Seeking Out Value-Based Care Consulting Firms

Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according to a recent Black Book Market Research.

Cumberland Consulting Buys LinkEHR, Provider of Epic Help Desk Services

Cumberland Consulting Group, a healthcare consulting and services firm, has acquired LinkEHR, which provides remote application support, including Epic help desk services.

Population Health Tool that Provides City-Level Data Expands to 500 Cities

A data visualization tool that helps city officials understand the health status of their population, called the City Health Dashboard, has now expanded to 500 of the largest cities in the U.S., enabling local leaders to identify and take action around the most pressing health needs in their cities and communities.