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Cigna's Collaborative Care Strategy: Engaging Healthcare Professionals and Building on Accountable Care Arrangements 
 
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Overview
While most industry efforts with accountable care organizations have focused on large physician groups, Cigna’s research indicates that only 20 percent of customers with high-cost conditions or complex needs receive care from these groups. In order to transform care delivery in a meaningful manner, the industry must meet individuals where they seek care.

Cigna has developed a new suite of value-based initiatives called Cigna Collaborative Care that builds on the company’s successful Collaborative Accountable Care (CAC) arrangements with large physician groups and integrated delivery systems. Cigna Collaborative Care expands value-based initiatives to include small physician groups, specialist groups, and hospitals, in addition to large physician groups.

Cigna Collaborative Care is the company’s approach to accomplishing the same population health goals as accountable care organizations, or ACOs. It is based on rewarding health care professionals for value rather than volume, and benefits customers and employers by promoting higher quality of care and lower total medical costs.

To that end, Cigna has expanded Cigna Collaborative Care to include health care professionals wherever they are in the health care delivery system. In addition to large physician practices, the incentive-based Cigna Collaborative Care includes: Small physician groups including small private practices and unorganized physician groups; Hospital arrangements; and Specialist groups focusing on the five specialties that account for 57 percent of medical spending – orthopedics, obstetrics-gynecology, cardiology, gastroenterology and oncology.

Cigna's experience with large physician groups has been growing since 2008. There are currently 86 initiatives in 27 states, and Cigna is on track to reach its goal of 100 in 2014.

Please join Cigna's Harriet Wallsh and Doctor Renee McLaughlin on Wednesday, June 18, 2014 at 1PM Eastern as they discuss Cigna's Collaborative Care Strategy and results from their collaborative accountable care initiatives.
 
Learning Objectives
Participants will be able to:
  1. Examine results from Cigna collaborative accountable care initiatives.
  2. Explore the scope and potential impact of expanding collaborative care beyond larger accountable care arrangements.
  3. Understand the design and structure of Cigna incentive-based, value-driven arrangements targeting smaller, unorganized physician practices, hospitals, and key physician specialties.
  4. Ascertain how Cigna research and pilot programs support their collaborative care strategy.
  5. Consider the stakeholder implications of expanded provider engagement.
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow-up questions, and networking with attendees, faculty and other professionals through a dedicated LinkedIn group.
Who Should Attend
Interested attendees would include:
  • C-Suite Executives
  • Accountable Care Directors and Staff
  • Medical Directors
  • Strategy and Planning Executives and Staff
  • Legal, Regulatory and Policy Executives and Staff
  • Health Reform, Transformation and Clinical Integration Executives and Staff
  • Business Intelligence and Research Analysts
  • Managed Care and Revenue Cycle Executives and Staff
  • Business Development Executives and Staff
  • Operations Executives and Staff
  • Provider Network Managers and Staff
  • Provider Contracting Managers and Staff
  • Clinical Executives
  • Care Management Executives

Attendees would represent organizations including:

  • Accountable Care Organizations
  • Hospitals
  • Provider Networks
  • Medical Groups 
  • Health Plans 
  • Government Agencies
  • Employers
  • Business Process Organizations 
  • Solutions Providers 
  • Care Management Organizations
  • Associations, Institutes and Research Organizations 
  • Pharmaceutical Organizations
  • Media
  • Other Interested Parties


Registration
Cigna's Collaborative Care Strategy: Engaging Healthcare Professionals and Building on Accountable Care Arrangements 
 
  Individual Registration Fee: $195. Post-event materials, with video syncing slides and recorded audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event brochure.
 
 
 
Register Now   Corporate Site licensing also available. Click here to register or call 209.577.4888 We look forward to your participation in this event!
 
 
Faculty
Harriet P. Wallsh, RN

Harriet P. Wallsh, RN
Director of Collaborative Care Clinical Operations
Cigna
 

Harriet Wallsh is the Director of Cigna Collaborative Care Clinical Operations. She developed Cigna Collaborative Care/ACO and is responsible for clinical operations for Cigna Collaborative Care initiatives. Her responsibilities include development, implementation and ongoing clinical operations through informatics, clinical collaboration process, program support tools, and field communication.

Harriet and her team have supported expansion for the Cigna Collaborative Care – Large Group program and infrastructure which now has 90 active Collaborative Accountable Care initiatives. Due to this work, Cigna has been sited as a “significant player” to the ACO space. Harriet oversees a team of clinical and project management experts who work in collaboration with Cigna Medical Operations, Contracting and healthcare professional management teams with the goal to drive Cigna Collaborative Care outcomes to improve the quality, affordability and experience of care for Cigna customers.

Her experience includes over 23 years at Cigna in roles including contracting, network management and developing programs designed to enhance the patient care experience, overseeing and directing the development, evaluation and implementation of new or changing programs, policies and procedures in concert with health care reform legislation as well as hiring, training and retaining a consultant staff.

Prior to joining CIGNA, she served as a Physician Consultant and as a Clinical Nurse with a focus in Maternal Fetal care. Harriet holds a Bachelor’s of Science Degree in Nursing from Rutgers University.

 


Renee McLaughlin, MD

Renee McLaughlin, MD FACS, Senior Medical Director, Market Medical Executive
Cigna
 

Dr. Renee Mclaughlin is a senior medical director and the market medical executive for Cigna's Mid-South market. In this role she shares responsibility for managing the total medical costs for 800,000 CIGNA customers and serves as the senior medical liaison for CIGNA's provider partners and clients.

She is the clinical director for CIGNA's performance improvement initiatives in the mid-South and is a member of Cigna's corporate team responsible for the design and implementation of Cigna’s value-based solutions to improve quality, affordability, and patient satisfaction. She has extensive experience in the development, implementation, and operation of successful population health management partnerships. She speaks regularly in both regional and national forums on value-based health care delivery.

Prior to joining CIGNA in 2005, Dr McLaughlin was a practicing general and vascular surgeon in a single-specialty practice. She earned a BS at Adrian College, MS at Wayne State University, and completed her graduate and post-graduate medical and surgical training at the University of Pittsburgh. She served in the United States Army during the first Gulf war. She currently lives in Chattanooga, Tennessee where she spends her free time enjoying Southern culture as well as the waters of the Tennessee River.

 

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