Why are we seeing more diverse contracts with hospitals, well the link below might give a hint as to why and the agreement will allow Tenet facilities to cash in on 
some pay for performance money if the costs are kept inline.
Tenet Healthcare 1st Quarter Income Drops by 51% Compared to Same Quarter in 2009
United Healthcare has already jumped in here too.
United Healthcare Who Announced 4th Quarter Profits Just Under a Billion Signs Contract with Tenet Healthcare
In the press release here it states that 42 of 257 hospitals have met the quality awards so if you are working for one who has not, be ready for some new stipulations and procedures to follow in order to meet these goals and some of these items may be topics of conversations at board and peer meetings too in the future if not already being discussed as hospitals do not want to leave any money on the table. I hope these are workable and amiable for the physicians to understand too. A 
while back I did a post about a hospital group that could not decipher what United Healthcare wanted.
Hospitalists, Peer Committees and Utilization Struggle to Comprehend United HealthCare Algorithms
As the business intelligence analytics force works harder to narrow down the qualifications and algorithms to qualify, no doubt keeping on track becomes much more complicated. The contract from the consumer side allows access for patients covered by Cigna to Tenet facilities. Also as an interesting side note, Tenet has one medical facility opened earlier this year in a bank to make it easier for their employees to get care.
Tenet Healthcare Set to Roll Out Cerner Millennium Solutions at 47 Hospitals Currently Using Paper Records
Also if you work at Tenet, several facilities are slated to roll out a new EHR from Cerner in the near future. BD
DALLAS, Jun 29, 2010 (BUSINESS WIRE) -- Tenet Healthcare Corporation today announced it signed a new multi-year agreement with CIGNA Corporation , which became effective June 1, 2010.
Under the new agreement, CIGNA health plan participants have access to health care services at all hospitals owned and operated by Tenet subsidiaries as well as Tenet's freestanding diagnostic imaging centers and ambulatory surgery centers. Tenet Physicians Inc., which contracts for the more than 400 physicians employed by various Tenet subsidiaries, is also part of the new agreement. Financial terms were not disclosed.
"This agreement shows that Tenet's hospitals are well-positioned in terms of pay-for-performance from health plans like CIGNA," said Stephen L. Newman, M.D., Tenet's chief operating officer. "It also affirms our continued commitment to providing our patients with high-quality care that is focused on evidence-based medicine. We are pleased to have strengthened our relationship with CIGNA."
Tenet Announces National Agreement with CIGNA - MarketWatch