The principles of the patient-centered medical home are the foundation of Cigna's collaborative accountable care initiatives. During the pilot, the St. John's Mercy Medical Group (SJMMG) physician practice will monitor and coordinate all aspects of an individual's medical care. Patients - especially those with chronic illness or ongoing medical needs - will continue to go to their current SJMMG physician and will not need to do anything additional to receive the collaborative accountable care benefits. There also is no change in any plan requirements regarding referrals to specialists.
Cigna will pay SJMMG’s primary care physicians as usual for the medical services they provide. The physicians will also be rewarded through a “pay for performance” structure if they meet targets for improving quality and lowering medical costs.
