Spartanburg, S.C.-based Regional HealthPlus and health insurer Cigna have entered into a collaborative care agreement aimed at enhancing patient care coordination and improving quality of care for more than 5,000 Cigna members who receive care from Regional HealthPlus physicians.
The program, called Cigna Collaborative Care, is similar to an accountable care organization, as it is focused on the same population health goals as an ACO. The program helps address gaps in patient care and helps improve follow-up care for people transitioning from a hospital to a home care setting.
Clinical nurse coordinators, employed by Regional HealthPlus, will assist patients with chronic conditions sin navigating the healthcare system. The case coordinators will collaborate with Cigna case managers.
"By utilizing valuable data from Cigna and working as a team to coordinate care, we can improve health outcomes, especially for those with chronic illnesses or medically complex conditions," said Nick Ulmer, MD, coordination committee chairman at Regional HealthPlus.
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