At Cigna, we maintain a detailed path of utilization management (UM) checkpoints that we apply to all medication claims, especially those for specialty medications, to help customers receive safe, cost-effective treatments.
Choosing where to receive treatment with a medical specialty drug will have impacts on multiple levels. These complex drugs are often injected or infused by a health care professional. The setting where this takes place should offer high quality service. It should be within reasonable proximity to the customer’s home. Final costs also shouldn’t be double or even triple those of rival care settings. That’s where Cigna's Specialty Care Options program focuses its efforts.
As of April 1, 2021, our Patient Assurance Program (PAP) will expand coverage for eligible customers to include additional branded diabetes medications based on the formulary elected by the employer.
As part of our SafeGuardRx® for Cigna program, Cigna provides one-on-one drug adherence counseling and support that’s proven to help lower A1C levels. When engaging with a Cigna coach through this program, 63% of those with an A1C level of 8 or above were able to lower their A1C levels to a goal of less than 8.1,2
1. All About Your A1C. Centers for Disease Control and Prevention. www.cdc.gov. Accessed January 4, 2021. 2. Cigna National Book of Business analysis of SafeGuardRx for Cigna medication adherence outreach. Q3 2020.
For those who need specialty medications to treat a complex, chronic condition, the right care facility can help keep costs down and health outcomes positive. Cigna works to control costs in a variety of ways including provider contracting.
As a Pharmacy Benefits Manager within a global health service company, we uniquely deliver personalized solutions that support the whole person. Through integrated capabilities, we address every aspect of our customers’ wellness, including physical and emotional health. Our goal is to deliver greater value to you and your employees, helping them improve their well-being while you control your costs.
Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna representative.
All Cigna products and service are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, (CHLIC), Cigna Behavioral Health, Inc., Cigna Health Management, Inc., Evernorth, Accredo Health Group, Inc., Express Scripts, Inc., ESI Mail Pharmacy Service, Inc., Express Scripts Pharmacy, Inc., Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., Lynnfield Drug, Inc., and HMO or service company subsidiaries of Cigna Health Corporation. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC). The Cigna name, logo, and other Cigna marks are trademarks of Cigna Intellectual Property, Inc. "Express Scripts" is a trademark of Express Scripts Strategic Development, Inc. This newsletter is not intended for residents of New Mexico.
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