- Measuring Aon’s Profitability shows that the integration of medical, pharmaceutical and behavioral health benefits has reduced total health care costs $148 per member per year
- Additional Cigna study finds greater cost savings from integrated care for beneficiaries with chronic conditions, including more $11,000 in reducing healthcare costs for those taking specialist medications for inflammatory conditions
BLOOMFIELD, Conn., January 19, 2023 /PRNewswire/ — Research released today by Cigna (NYSE: CI), a global healthcare services company, finds that the triple integration of medical, pharmaceutical and behavioral benefits has led to lower healthcare costs for employers. Led by Aon plc, a global leader in professional services, the Studying the value of integration Shows Cigna Embedded Employer Customers Saved $148 per member per year in 2021.
Using a similar study method, Cigna then assessed the financial impact of engaging employees to participate in health improvement programs, such as wellness coaching. Results show even greater savings for Cigna’s embedded employer customers, exceeding $1,400 per member per year.
Additionally, Cigna found that when people with specific high-cost illnesses and treatments were enrolled in a Triple Integrated Health Plan and needed specialty medications, the savings to the health plan were:
- Almost $9,000 per member per year, rising to more than $11,000 per limb when the specialty drug is for an inflammatory condition such as rheumatoid arthritis; and
- Almost $17,500 per year for members who have taken specialty medications and have a confirmed diagnosis of depression.
“The integrated benefits provide a connected, real-time platform that allows us to anticipate our customers’ unique healthcare needs and support them when making important healthcare decisions, reducing costs.” over time,” said Katy Wang, Head of Pharmacy, Cigna Pharmacy. “It’s extremely important for employers to have this holistic view of the continuum of care for their workforce. It produces significant health care savings, which they can pass on to their employees, and it also improves the health of their workforce, which fuels productivity and business growth. »
“The measurement confirms the direct link between integrated medical, pharmaceutical and behavioral benefits and reduced medical claims costs,” said Todor Penev, Head of Business Analytics at Aon. “Employers need to be confident that embedded benefits deliver on the promise of improved health outcomes and ultimately reduce the financial risk to the employer, helping to create a more resilient workforce. .”
Manage the cost of chronic diseases
More than 60% of adults in United States live with a chronic disease, such as musculoskeletal pain or diabetes, and chronic disease is one of the main drivers of $4.1 trillion annual health costs. Integrated benefits can help reduce the costs of chronic conditions. Cigna found that when members were enrolled in a Triple Integrated Health Plan, the savings to the health plan were:
- Almost $400 one year for members with a musculoskeletal diagnosis.
- More … than $1,400 one year when someone with a musculoskeletal diagnosis is engaged with a health coach.
- Almost $2,500 per member per year diagnosed with diabetes.
Cigna has found that members with integrated benefits and support from health improvement programs need fewer emergency room visits and fewer costly invasive hospital procedures. This includes:
- Members with diabetes have a 17% lower rate of avoidable ER visits.
- Members with musculoskeletal conditions experience:
- 133% reduction in the rate of in-hospital surgeries.
- 26% lower opioid overdose rates.
- 16% fewer interventional procedures, such as injections and biopsies.
Cigna Pathwell
The results come as Cigna launches a new suite of products designed to create the kind of connected care experience that delivers these savings for integrated customers. Cigna Pathwell leverages analytics, clinical expertise, treatment planning, and personalized digital solutions from Evernorth, Cigna’s health services business, and integrates them with Cigna’s networks of medical, pharmaceutical, and behavioral service providers to create a comprehensive and personalized care experience for patients living with high-cost health conditions.
“This research underscores the improved health outcomes and cost savings we can achieve by creating a more personalized and connected healthcare journey we’ve built with Cigna Pathwell,” said Heather Dlugolenski, senior vice president, US Solutions, Cigna. “Cigna Pathwell connects clients with the providers and therapies best suited to their unique medical condition and, through our unparalleled data and expertise, can help them anticipate their future needs to help them recover faster.” »
d’Aon 2022 Value of Onboarding Study can be found here.
Aon Study Methodology
d’Aon 2022 Integration value The study is based on a two-year (2020-2021) analysis of the medical claims of more than 2 million Cigna customers who receive coverage through their employer. Aon was independently engaged to design and conduct the study. The business portfolio study relied on Aon’s proprietary cost-effectiveness measure, a matching case-control methodology, comparing groups of individuals who resemble each other (age, gender, health status and benefits) but differ in terms of coverage for medical, pharmaceutical and behavioral benefits.
Cigna Study Methodology
Cigna used a case-control matching methodology developed at Harvard University produce complementary statistics on different subsets of clients (those with certain comorbidities, those who have engaged in health improvement activities, etc.).
About Cigna
Cigna Corporation is a global health services company dedicated to improving the health, well-being and peace of mind of those we serve. Cigna provides choice, predictability, affordability, and access to quality care through integrated capabilities and connected, personalized solutions that advance whole person health. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including but not limited to Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Evernorth Companies or their affiliates, and Express Scripts Companies or their companies. affiliates. These products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, extended benefits and other related products.
Cigna maintains sales capability in more than 30 countries and jurisdictions and has more than 190 million customer relationships worldwide. Learn more about Cigna®including links to follow us on Facebook or Twitter, visit www.cigna.com.
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SOURCECigna
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