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CIGNA partners with MCNT to launch a medical house type program in Texas CIGNA and Medical Clinic of North Texas are getting ready to start a pilot program that incorporates the different parts of the medical home model predicated on a comprehensive, collaborative and accountable approach they believe will result in improved patient access, better continuity and coordination of care, improved quality of care for patients, and lower medical costs. The pilot plan, which begins today, will be the initial commercially sponsored medical house type program in Texas which involves a multi-site medical practice and a single private payer.