High-performance networks bringing clients and customers quality care and savings
Cigna works with health care providers equally committed to helping our clients and customers find more personalized, affordable care.
We offer solutions to meet many needs.
Our networks range from broad, open access networks to more locally focused, high-performance networks to provide accessibility and affordability.
Cigna Collaborative Care
The Cigna Collaborative Care® program includes opportunities for providers to earn reimbursements based on how efficiently and effectively they deliver health care to Cigna customers.
In 2008 Cigna began building value-based relationships with providers with the aim of improving quality, lowering cost and improving satisfaction. Since then, our Cigna Collaborative Care program has grown to include primary care physicians, hospitals and specialists.
For primary care groups, Cigna's Accountable Care program incentivizes providers to deliver the right care for the right value. It gives them more information, insights and support than ever before. It empowers them to deliver better outcomes. And that helps deliver better results for our clients and customers.
231 Accountable Care programs in 32 states1
95.8% of Cigna customers have access to an Accountable Care program physician2
Cigna's Specialist program addresses the greatest driver of total medical cost trend, specialty care, by helping specialists provide more effective delivery of care, lower costs and higher levels of patient satisfaction. Specialties include - Cardiology, Gastroenterology, General Surgery, Nephrology, Obstetrics-gynecology (ob/gyn), Oncology, and Orthopedics.
Cigna's Hospital program focuses on improving efficiency and effectiveness on inpatient care. Cigna evaluates hospitals based on their performance for specific quality measures aligned with the Centers for Medicare & Medicaid Services (CMS) and ties the fee-for-service rates to this performance.
National open access network
Open Access Plus (OAP) provides national benefits at a potential cost savings by encouraging a primary care provider relationship.
Cigna LocalPlus® plans provide access to a limited network that includes doctors, specialists, and hospitals right where your clients' employees live.3 Wellness services and programs are also available to help employees get on a path to good health.
Flexible plan designs can be customized to help your clients control costs. When compared to clients in similarly designed Cigna Open Access Plans, clients with LocalPlus networks could save 16% in medical costs.4
Cigna SureFit® is an all-in-one solution that combines medical, pharmacy and behavioral health benefits alongside enhanced care management and the Cigna One Guide® service, to better address customers' health and well-being, while offering our highest level of personal, intelligent support. The Cigna SureFit network is built around local, high-value doctors, hospitals and specialists who are committed to providing quality, coordinated care. Clients could see an immediate savings of 20% compared to our OAP product.5
With Cigna's Health Maintenance Organization (HMO) health plan, employees choose a primary care provider (PCP) from a local network to serve as their personal provider to coordinate care and treatment. Features like access to preventive care and wellness and discount programs can foster earlier intervention and more cost-effective outcomes.
Southern California Select
Southern California Select plans are available to employers in San Diego, Orange and Los Angeles counties. Employees who live or work in these areas choose from three award-winning provider groups. These well-recognized providers are: Scripps Health6, St. Joseph Hoag Health and HealthCare Partners7, and DaVita Medical Group8. The plans are designed to improve access, quality and affordability, while making the health care experience simpler. The Southern California Select Plan offers competitive pricing, with an 8–14% discount9, compared with our traditional HMO plan.
1Cigna internal analysis of existing arrangements as of October 2017. Subject to change.
2Cigna August 2017 analysis of national medical Book of Business customers in all U.S. markets, defined by market size, within 15-mile zip code radius (zip code to zip code distance) of three CCC primary care physicians. Subject to change.
3This plan provides access to a network that is smaller than Cigna’s national OAP Network. In this plan customers have access to in-network benefits only from the providers in the LocalPlus Network when in a LocalPlus Network service area. Please consult the limited network directory or visit the online directory at Cigna.com for a complete listing of LocalPlus network providers. For a paper copy, ask your Cigna representative.
4Potential savings estimated, based on an internal national Cigna study conducted in 2017 comparing Cigna's LocalPlus and LocalPlus IN plans with Cigna's Open Access Plus (OAP) and Open Access Plus IN (OAPIN) plans with the same benefit structure, deductibles, copay and out-of-pocket maximum limits. Savings are not guaranteed and will vary depending on plan design, geographic distribution and utilization patterns. Medical cost savings do not directly translate to rate or premium rates.
5Percentage of savings is estimated based on an internal Cigna study conducted in 2018 comparing Cigna’s SureFit network with Cigna’s Open Access Plus (OAP) network (assuming equivalent benefit structure, deductibles, copays and out-of-pocket maximum limits). Savings ranges are as follows: Mid-Atlantic (Northern Virginia, Richmond, Virginia and District of Columbia), 17–20%; Boulder and Denver, Colorado, 7-12%; Phoenix, Arizona, 15-20%; Tennessee (Chattanooga, Jackson, Knoxville, Memphis, Nashville, Plateau and Tri-Cities), 10–15%; and Raleigh, North Carolina, 15–17%. Savings range represents the potential savings and is not guaranteed. Savings will also vary depending on plan design, geographic distribution, and utilization patterns.
6Scripps La Jolla Hospitals and Clinics Nationally Ranked in 7 Specialties, U.S. News, Accessed 5/1/17, https://www.usnews.com/info/blogs/press-room/articles/2017-08-08/us-news-announces-2017-18-best-hospitals.
7#1 Hospital on the East Coast, 3/7/17, http://health.usnews.com/best-hospitals/area/ca/st-joseph-hospital-6930106.
8About CAPG’s National Standards of Excellence™ Survey, CAPG Standards of Excellence, Accessed 3/13/17, http://www.capg.org/modules/showdocument.aspx?documentid=2857.
9Percentage may vary, multiyear pricing dependent on plan offering selection.