A collaborative accountable care model in three practices showed promising early results on costs and quality of care.

Cigna's Collaborative Accountable Care initiative provides financial incentives to physician groups and integrated delivery systems to improve the quality and efficiency of care for patients in commercial open-access benefit plans. Registered nurses who serve as care coordinators employed by participating practices are a central feature of the initiative. They use patient-specific reports and practice performance reports provided by Cigna to improve care coordination, identify and close care gaps, and address other opportunities for quality improvement.

Patient Online at Dartmouth-Hitchcock - interactive patient care web site.

This poster presentation will demonstrate the value to practices of providing online interactive communication tools to their patients by presenting Dartmouth-Hitchcock's successful implementation of "Patient Online". This tool extends our clinical and administrative functions directly to patients using a personal web site product that supports HIPAA compliant clinical communication, patient appointment scheduling, prescription renewals, and referral requests with the practice.