2.5x save 3 successful medicare · 4. “reducing long-term cost by transforming primary care:...

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MOVING TO VALUE-BASED CARE FOR BETTER HEALTH AND BETTER BUSINESS U.S. spends 1 40% more than next biggest spender 40 % HEALTH CARE COSTS ARE HIGH – VALUE IS LOW HEALTH CARE IS SHIFTING FROM FEE-FOR-SERVICE TO FEE-FOR-VALUE U.S. spends 1 2.5x other countries 2.5 X • Better care quality with a renewed focus on quality, not quantity • Improved affordability based on a more efficient structure • Higher satisfaction with a recommitment to the patient • Increased economic opportunities with 6%–8% savings in incentives and growth 4 • Improved provider satisfaction – 11% increase in satisfaction for providers in a value-based relationship 5 1/3 of health care costs are waste 2 $210B in unnecessary care 3 $55M on missed prevention opportunities 3 $130B on inefficient delivery 3 By 2018 7 of Fee-for-Service Medicare payments tied to alternative payment models like accountable care organizations of payments tied to value-based arrangements Successful Medicare Shared Savings Programs AND GET YOU WHERE YOU WANT TO BE WE MEET YOU WHERE YOU ARE CMS IS PUSHING THE CHANGE GOOD FOR PROVIDERS SAVE 3 % 50 % 90 % PROVIDER ENGAGEMENT Increase engagement with your physicians to help them approach transformation with energy and enthusiasm, while remaining dedicated to their patients and truly committed to the improvement of your organizations. CLINICAL OPERATIONS We help healthcare providers evolve and transform their clinical operations to improve quality and reduce costs, taking a value-based approach that is engaging and inspiring. SUPPORT SERVICES Give your physicians a broad range of capabilities, breaking down bandwidth barriers and leveraging best practices across your organization. 1. OECD (2015), Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. http://dx.doi.org/10.1787/health_glance-2015-en 2. Health Affairs & Robert Wood Johnson Foundation, health policy brief, “Reducing the Waste in Health Care,” December 2012 3. Annie Lowrey, “Study of U.S. Health Care System Finds Both Waste and Opportunity to Improve,” New York Times, September 11, 2012 http://www.nytimes.com/2012/09/12/health/policy/waste-and-promise-seen-in-us-health-care-system.html?_r=0 4. “Reducing Long-Term Cost by Transforming Primary Care: Evidence from Geisinger’s Medical Home Model”, American Journal of Managed Care, March 2012, 18(3):149–55; R. J. Reid, et al., 5. Cigna National Physician Satisfaction Survey 2014 6. Center for Medicare, Shared Savings and Losses and Assignment Methodology, December 2014 7. Presentation by Center for Clinical Standards and Quality, HIMPS, April 2016 All CareAllies products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including CareAllies, Inc. The CareAllies name, logo, and other CareAllies marks are owned by Cigna Intellectual Property, Inc. 893454 12/17 © 2017 CareAllies, Inc. COLLABORATION WITH DOCTORS IN THE FIELD – relationships trump technology KEYS TO SUCCESS CareAllies.com or more 6 OUR COLLABORATION AND ENGAGEMENT FINANCIAL TRANSPARENCY – builds trust, accountability and engagement BIDIRECTIONAL FLOW OF INFORMATION – ensures doctors have a voice GOOD FOR PATIENTS

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Page 1: 2.5X SAVE 3 Successful Medicare · 4. “Reducing Long-Term Cost by Transforming Primary Care: Evidence from Geisinger’s Medical Home Model”, American Journal of Managed Care,

MOVING TO VALUE-BASED CAREFOR BETTER HEALTH AND BETTER BUSINESS

U.S. spends1 40% more than next biggest spender

40%

HEALTH CARE COSTS ARE HIGH –

VALUE IS LOW

HEALTH CARE IS SHIFTING

FROM FEE-FOR-SERVICE

TO FEE-FOR-VALUE

U.S. spends1 2.5x other countries

2.5X

•Bettercarequalitywitharenewedfocusonquality,notquantity

•Improvedaffordabilitybased on a more efficient structure

•Highersatisfaction witharecommitment to the patient

• Increasedeconomicopportunitieswith 6%–8%savingsinincentivesandgrowth4

• Improvedprovidersatisfaction–11%increase insatisfactionfor providersinavalue-basedrelationship5

1/3 ofhealthcarecostsarewaste2

$210B inunnecessarycare3

$55M onmissedpreventionopportunities3

$130B oninefficientdelivery 3

By20187

ofFee-for-Service Medicarepaymentstied toalternativepaymentmodelslikeaccountable care organizations

ofpaymentstiedto value-basedarrangements

SuccessfulMedicareSharedSavingsPrograms

AND GET YOU WHERE YOU WANT TO BE

WE MEET YOU WHERE YOU ARE

CMS IS PUSHING

THE CHANGE

GOOD FOR

PROVIDERSSAVE 3%

50%90%

PROVIDER ENGAGEMENTIncreaseengagementwithyourphysicianstohelpthemapproachtransformationwithenergyandenthusiasm,whileremainingdedicatedtotheirpatientsandtrulycommittedtotheimprovementofyourorganizations.

CLINICAL OPERATIONS Wehelphealthcareprovidersevolveandtransformtheirclinicaloperationstoimprovequalityandreducecosts,takingavalue-basedapproachthatisengaging and inspiring.

SUPPORT SERVICESGiveyourphysiciansabroadrangeofcapabilities,breakingdownbandwidthbarriersandleveragingbestpracticesacrossyourorganization.

1. OECD (2015), Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. http://dx.doi.org/10.1787/health_glance-2015-en2. Health Affairs & Robert Wood Johnson Foundation, health policy brief, “Reducing the Waste in Health Care,” December 20123. Annie Lowrey, “Study of U.S. Health Care System Finds Both Waste and Opportunity to Improve,” New York Times, September 11, 2012

http://www.nytimes.com/2012/09/12/health/policy/waste-and-promise-seen-in-us-health-care-system.html?_r=04. “Reducing Long-Term Cost by Transforming Primary Care: Evidence from Geisinger’s Medical Home Model”, American Journal of Managed Care, March 2012, 18(3):149–55; R. J. Reid, et al., 5. Cigna National Physician Satisfaction Survey 2014 6. Center for Medicare, Shared Savings and Losses and Assignment Methodology, December 20147. Presentation by Center for Clinical Standards and Quality, HIMPS, April 2016

All CareAllies products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including CareAllies, Inc. The CareAllies name, logo, and other CareAllies marks are owned by Cigna Intellectual Property, Inc. 893454 12/17 © 2017 CareAllies, Inc.

COLLABORATION WITH DOCTORS IN THE FIELD – relationships trump technology

KEYS TO SUCCESS

CareAllies.com

or more6

OUR COLLABORATION AND ENGAGEMENT

FINANCIAL TRANSPARENCY – builds trust, accountability and engagement

BIDIRECTIONAL FLOW OF INFORMATION – ensures doctors have a voice

GOOD FOR

PATIENTS