The Real Value of Connected Benefits

Proven four years in a row

At Cigna, we know that one of the best ways to control costs and improve the health and wellbeing of those we serve is to provide simple, connected and affordable solutions. We strive to engage our customers to take control of their health and make managing benefits easier for our clients.

For the fourth year in a row, Cigna's Value of Integration study proves that connected care is essential to drive real, meaningful results, and it only comes from truly connected benefits. Our retrospective analysis, using methodology developed with KPMG, continues to demonstrate that connecting medical, pharmacy and behavioral care through integrated benefits enables us to support the whole person, better engage our customers, and reduce total medical costs for our clients.

Supporting the whole person

At Cigna, our approach is different. Real-time data, integrated across benefits, lets us see the full picture of our customers – allowing us to have meaningful, personalized interactions – in the right moment. The result is that our customers are more engaged in their health and well-being - in fact, our latest study proves it once again:*

  • A 17 percent higher customer engagement overall, and 11 percent higher oncology case management engagement rate.
  • 32 percent lower mental health readmissions, and 18 percent fewer out-of-network behavioral claims.
  • 43 percent fewer out-of-network in-patient stays, and 5 percent higher utilization of in-network high-performing providers.
  • Opioid misuse treatment – improved outcomes
    • 15 percent higher rate Medication Assisted Therapy utilization or other substance abuse methods.
    • 30 percent less likely to have a subsequent opioid overdose, when experienced one year prior.

Lowering total medical costs

Employers offering triple-integration benefits through Cigna (medical, pharmacy and comprehensive behavioral) continue to see meaningful savings in total medical costs as compared to those who carve-out benefits individually. In fact, those with fully integrated benefits in the 2019 study:*

  • Saved an average of $207 annually for each covered individual, compared to $193 in 2018, and $867 annually for individuals with a known health improvement opportunity, compared to $645 in 2018.
  • Saw average annual medical cost savings of $7,372 for individuals with conditions requiring a specialty medication, such as multiple sclerosis or rheumatoid arthritis.
  • Showed average annual savings of over $11,679 for individuals with an oncology diagnosis and 24 percent lower oncology inpatient costs.
  • Experienced 4 percent lower out-of-network costs.

What makes Cigna unique, is that our entire approach to care considers the whole person – body and mind. From our very first study four years ago, every study has shown the value of an integrated benefit. And with this engagement, Cigna clients who chose a fully connected plan not only have a healthier, more productive workforce, but also a healthier bottom line.

*Cigna 2019 book of business study of medical customers who have Cigna pharmacy + behavioral benefits vs. those with Cigna medical + basic behavioral. Individual client/customer results will vary and not guaranteed. Average annual per member per year (PMPY)

KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative ("KPMG International"), a Swiss entity. KPMG did not validate the Cigna 2019 Pharmacy Integration Study, but reviewed the approach and methods used to conduct the 2018 study and found them to be reasonable and appropriate. The same methodology was used in the 2019 study. Cigna used a published academic method and appropriate statistical tests and rigor. KPMG was engaged by Cigna to perform this review of their analysis. KPMG did not conduct an independent analysis to verify any results. KPMG did not audit the data or the programming code used to conduct the study. The data used for the study was Cigna’s own internal data.

Study based on unaudited 2018 Cigna customer/claims data and represent historical differentials associated with study data set. Future results may vary by time frame, account, member, and other factors. Study results do not constitute an audit, a review or other form of assurance with any generally accepted auditing, review or other assurance standards, and do not represent any form of assurance.

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Health benefit plans vary, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and medically necessary. Some plans require you to use an in-network pharmacy for prescriptions to be covered. Coverage is subject to any plan deductible, copayment and/or coinsurance requirements. 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, contact a Cigna representative. Group medical and pharmacy plans are insured and/or administered by Cigna Health and Life Insurance Company or its affiliates. Policy forms: OK - HP-APP-1 et al., OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. All pictures are used for illustrative purposes only. This website is not intended for residents of New Mexico.

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