Tenet Healthcare has agreed to open access to healthcare services at all its hospitals and outpatient centers to those who are Cigna-insured beginning next May. Under the agreement, Cigna customers will have access to healthcare services at all hospitals owned by Tenet subsidiaries, as well as freestanding:
• Diagnostic imaging centers
• Ambulatory surgery centers
• Urgent care centers
• Outpatient centers in which Tenet holds majority interest
• Physicians under Tenet Physicians Inc. (About 800)
This new contract also will allow facilitates the creation of Tenet’s Clinically Integrated Organizations (CIOs) and Accountable Care Organizations (ACOs) through Cigna’s proprietary Collaborative Accountable Care (CAC) model.
Collaborative accountable care is Cigna’s approach to accomplishing the same population health goals as accountable care organizations, such as Methodist Health Systems’, with a strong focus on high-risk individuals, including people with chronic health conditions such as diabetes or heart disease.
The agreement enables independent physicians aligned with Tenet-sponsored CIOs and ACOs to benefit from Patient-Centered Medical Home arrangements, specialty bundling, and physician-driven pay-for-performance incentive payments.