Cigna remains the only carrier* to perform an annual Value of Integration study on their national book of business, to evaluate the impact of medical, pharmacy and comprehensive behavioral benefit integration on annual total medical costs.1 As with previous years, we engaged a third party (Milliman, Inc.)2 to provide an independent review of study design and methodology. And our fifth and latest study shows once again that customers with integrated benefits have better health engagement, outcomes, and lower total health care costs.1
Among the study’s findings was that on average, Cigna’s integrated clients recognized a total medical cost savings of $227 annually per customer.1 And when it comes to high-cost conditions, the study showed an annual savings of $2,777 for diabetes, $6,708 for cancer, and $478 for musculoskeletal.1 Integrated customers are also more engaged and taking steps to achieve their best health – body and mind – with 25% more engagement in medical case management and behavioral coaching.1
Let’s look at a cancer diagnosis as an example. The study1 found that through the combination of medical, pharmacy, and behavioral benefits, we're able to identify and engage early – either at the very beginning of a customer’s health care journey or even before they’ve been diagnosed. For those who may be in the early stages of a cancer screening, a case manager can proactively reach out to provide both emotional and financial support. By getting ahead of the diagnosis and establishing a relationship early on, we see 10% higher engagement in our case management programs.1 Furthermore, during a customer's treatment journey, we can see across the full spectrum of benefits, which enables us to better support and intervene when needed.
Due to this holistic view, our case managers, specialized oncology pharmacists, and clinicians can see a customer’s full health journey, which helps remove barriers to care. Our team also works one-on-one with customers and their caregiver to help manage drug side effects, provide support for depression, offer financial assistance, and support palliative care, if needed. Because of this, we see 12% lower inpatient readmissions and fewer emergency room visits.1
“The results of the study demonstrate the value of our integrated approach,” said Matt Totterdale, senior vice president, Cigna Pharmacy. “We are able to maximize every opportunity to deliver a health care experience that is affordable, predictable, and simple for employers, while improving the outcomes of their employees and best supporting individuals’ physical and mental health."
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* Based on competitive intelligence findings
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.
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