Network Quality Win: VHAN Surpasses National and Market Performance on PY21 Cigna CAC Contract

VHAN recently received Cigna CAC performance results for PY21, and we are happy to announce that the network performed remarkably well compared to market and national rates across key measures. According to representatives from Cigna CAC, VHAN’s efforts to identify and list actions for preventive care initiatives and improvements, along with quality measure reports, patient outreach and best practice-sharing contributed to the following results:  

• Breast cancer screening rate was 16.4 percent better than the market and 14.5 percent better than the national average and trended favorably at 15.4 percent 
• Adolescent well-care rate was 24.6 percent better than the market and 5.9 percent better than the national average

• Coronary artery disease statin compliance rate was 6.6 percent better than the market and 10.4 percent better than the national average and trended favorably at 15.4 percent 
• Hypertension blood pressure rate of less than 140/90 was 4.9 percent better than the market and 3.2 percent better than the national average and trended favorably at 15.6 percent 
• Use of opioids during treatment rate was 3.6 percent better than the national average
• Well-child rate was 12.8 percent better than the market and 7.5 percent better than the national average 
• Diabetes retinopathy screening rate was 39.8 percent better than the market and 41.0 percent better than the national average, and trended favorably at 9.5 percent 
• Diabetes HbA1c rate of 8.0 percent or less was 4.8 percent better than the market and 4.5 percent better than the national average and trended favorably at 15.9 percent. 
• Diabetes statin compliance rate was 4.5 percent better than the market and 5.1 percent better than the national average and trended favorably at 27.0 percent. 

Cigna CAC also noted that VHAN’s established workflows and processes for depression screening contributed to a favorable trend of 3.9 percent. These processes include: 

• Development and/or identification of defined depression protocols communicated to network. 
• Development of educational materials for the network, including webinars and other resources  
• Behavioral health resource contact for network providers to leverage for care of behavioral health issues 
• Care management team to outreach to patients following a behavioral health discharge 

Congratulations to all our members whose hard work allowed the network to reach this milestone. Visit VHANHub.com for quality tools to help members carry this momentum forward.