Enhanced support with Cigna Collaborative Care® Aligned Pharmacist Program

When it comes to engaging with care partners, there is no one-size-fits-all approach. That's where our Cigna Collaborative Care (CCC) Aligned Pharmacist Program comes in. We align a pharmacist to a CCC point of contact within the collaborative care physician group. The point of contact may be an embedded care coordinator, a nurse case manager, a pharmacist or a quality metric person. The goal is always the same: to provide Cigna patients with consistent, ongoing, personalized pharmacy support.

This work began as a pilot in March of 2015 and has evolved into a pharmacy program strategy to support our CCC partners. We tailor our support to help improve the population’s health outcomes and lower medical costs.

The aligned pharmacist works with the CCC group’s point of contact

Aligned pharmacists work for Cigna. Meanwhile, the point of contact works within the CCC group. Together, they identify actionable health care opportunities, based upon shared information and clinical data. On an agreed-upon basis, aligned pharmacists review identified customers’ real-time pharmacy claims and benefits. The pharmacists create a report of actionable opportunities to discuss with the point of contact at the CCC. This all works together to support identified customers and help them to reach their best health.

Program focus includes high-cost, pharmacy-related quality measures:

 

Case description

Cigna domain

At-risk /
chronic condition population

Diabetes care

HbA1c result value greater than 8.0%

Coronary artery disease

Patient not taking a
statin

Diabetes mellitus

Patient compliant with prescribed statin

Results show that positive momentum continues:

25%
of those with diabetes and HbA1c over 8.0 moved to the targeted range.1

21%
of those with coronary artery disease not on a statin began taking one.1

58%
of customers not adherent to a statin became adherent.1

The Cigna Collaborative Care Aligned Pharmacist Program continues to grow, with consistent onboarding of new groups. By end of April 2019, 50 groups were participating in the program.2  

Learn more

Check out our Cigna Collaborative Care Video

1 Cigna Accountable Care quality measurement data. From quarter three 2018.
2. Based on CCC Aligned Pharmacist Program data as of May 2019. Subject to change.

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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 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 complete details of prescription drug coverage, contact a Cigna representative.

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