December 2018

Integrated benefits drive engagement and savings

Since 2015, Cigna has conducted a national book of business annual study to explore the value of benefits integration and engagement. In years past, the study focused on the integration of medical and pharmacy benefits only. But given recent findings, like the fact that up to one-third of people with a serious medical or chronic condition also have symptoms of depression,1 the need for a holistic, integrated approach that includes behavioral health is clear.

That’s why this year’s study, in which Cigna engaged KPMG, a global auditing and consulting firm, to review study design and methodology, includes an analysis of integrated medical, pharmacy and behavioral health benefits. The results – and the savings – are more compelling than ever.

Increased engagement

Based on the analysis, when medical, pharmacy and comprehensive behavioral health benefits are integrated, customers are significantly more active in health coaching, complex case management, and effective specialty drug management verses those with only Cigna medical and basic behavioral coverage.

  • 22% more individuals engage in health coaching and case management programs
  • 15% more individuals complete multiple health improvement activities

Engagement-driven cost savings

Increased engagement in managing health conditions also helps generate medical cost savings for clients who connect their benefits with Cigna.2

  • $193 annually, on average, for each covered member
  • $645 annually for each individual identified with a known health improvement opportunity (approx. 20% of the population).
  • These medical savings can increase to over
    • $9,792 per member per year (PMPY) for an engaged person with a specialty condition
    • $5,900 PMPY for an engaged person with diabetes.

A truly integrated experience

Truly connected benefits within the same health services company (not just a data feed) allow for more meaningful insights, more thoughtful interventions and more holistic, individualized and effective customer support. This can mean improved outcomes, productivity and savings for clients and customers alike. That’s the value of a truly connected health care experience.

For more information about this multi-year study and effort, click here. Or, access this press release.

* 2018 Cigna national book of business study of medical customers who have Cigna medical, pharmacy and behavioral benefits vs. those with Cigna medical only. Average annual PMPY estimated medical savings. Individual client/customer results will vary and
are not guaranteed.

  1. WebMD, Dealing With Chronic Illnesses and Depression, August 2018.
  2. Cigna 2018 National Book of Business study of medical customers who have Cigna pharmacy and behavioral benefits vs. those with Cigna medical and basic behavioral. Average annual per member per year (PMPY) – Individual client/customer results will vary and are not guaranteed.

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