Physician Alignment

110  ◾  Physician Alignment

transition to value. e clinic operates in a pure fee-for-service environment cur-

rently and is discussing alternative contracting strategies for the near future.

e employed groups offer different opportunities for integration and contract-

ing. e Piedmont Physician Group (PPG) has 150 doctors, most on a common

EMR. e group operates on the standard clinic contracts. e group executed an

addendum to the Cigna contract, creating what is referred to as a collaborative ACO.

is is a medical home infrastructure with a shared-savings agreement providing

an alternative payment methodology. A group of four care coordinators interact

with data from Cigna, the clinic, and the EHR to engage patients and providers

in activ