Total Cost of Care Approach

Cigna Pharmacy launches new set of performance guarantees

At Cigna, we believe performance guarantees are a critical component of holding pharmacy benefit managers (PBMs) financially accountable for improving performance on select measures.  We are proud to share our new offerings in 2021.

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Cigna Pharmacy’s January 2021 formulary and UM strategy

For January 2021, there are a number of changes to our formulary and Utilization Management (UM) to achieve better affordability and improved pharmacy plan performance for clients. 

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Monitoring care and costs through Utilization Management

At Cigna, our utilization management (UM) solutions work to manage benefit plan expenses by defending against potentially harmful, ineffective or unnecessary drug treatments.

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Reducing the total cost of care

While many stand-alone PBMs focus on the unit cost of the drug, Cigna integrates medical, pharmacy, and behavioral benefits to drive to the lowest total health care cost, while providing whole-person support for customers.

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Delivering more with Cigna’s integrated benefits

The past year brought new challenges which have placed even more emphasis on the need for an affordable, predictable, and simple healthcare experience. See what Cigna integrated benefits have to offer as we move forward.

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True benefit integration outperforms bundled benefits

Cigna's fifth and latest annual Value of Integration study of our national book of business shows once again integrated benefits drive better health engagement, outcomes and lowers total health care costs.

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Cigna Pharmacy’s January 2021 refresh – what to expect with claims engine upgrade

We are excited to have a number of our clients upgrade to our new proprietary claims engine, starting January 1, 2021.

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Cigna’s gaps in care program now even stronger, at no additional cost to clients

As a result of our combination with Express Scripts, Cigna has strengthened our existing gaps in care solution, Well Informed Gaps in Care, by also offering RationalMed® for Cigna. It is a way to help improve the health and safety of our members as well as drive further affordability for our clients.

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Legal Disclaimer | Privacy | Product Disclosures | Cigna Company Names

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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