The program, involving a medical practice and a single private payor, currently covers 10,000 patients with coverage from a Cigna health plan. The patients receive care from one of the 100 physicians who are members of the Piedmont Physicians Group.
During the pilot, the Piedmont Physicians Group practice will monitor and coordinate all aspects of a patient’s medical care. There will not be any change in plan requirements regarding referrals to specialists. The pay for performance structure will be implemented if the physicians meet targets for improving quality and lowering medical costs.
Read the Cigna release about Atlanta’s first ACO.
Read other coverage on ACOs:
– Federal Enforcement Agencies will Respond to Legal Issues for ACOs at October Meeting
– 11 Things to Know About Accountable Care Organizations
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