- Measuring cost efficiency in Aoun The integration of medical, pharmaceutical, and behavioral health benefits is shown to reduce overall costs of care by $148 per member per year
- An additional study by Cigna found higher savings from integrated care for chronically ill beneficiaries, including more than $11,000 At reduced costs of care for those taking special medications for inflammatory conditions
Bloomfield, Connecticut.And January 19, 2023 /PRNewswire/ — A study released today by Cigna (NYSE:CI), a global health services company, found that the triple integration of medical, pharmaceutical, and behavioral benefits led to lower healthcare costs for employers. Conducted by Aon plc, the leading global professional services firm, the The value of studying integration It shows that Cigna’s integrated customers have saved $148 per member of the year in 2021.
Using a similar study method, Cigna then assessed the financial impact of getting employees to participate in health-improving programs, such as wellness training. Results show greater customer savings for Cigna integrated employer customers, exceeding $1,400 per member per year.
In addition, Cigna found that when individuals with specific high-cost conditions and treatments were enrolled in a triple integrated health plan and needed specialty medications, savings to the health plan were:
- almost $9,000 Per member per year, it increases to more than $11,000 per organ when specialized medication for an inflammatory condition such as rheumatoid arthritis; And
- Almost $17,500 annually for members who have taken specific medications and have a confirmed depression diagnosis.
Integrated benefits provide a connected, real-time platform that enables us to anticipate our customers’ unique health needs and support them as they make important healthcare decisions – driving costs down over time. Katie WongDirector of Pharmacy, Cigna Pharmacy. “There is tremendous value for employers in having this holistic view across the continuum of care for their workforce. It creates significant healthcare savings, which they can pass on to their employees, and it improves the health of their workforce, which fuels productivity and business growth.”
“The measurement confirms the direct relationship between integrated medical, pharmaceutical and behavioral benefits and reduced costs of medical claims,” he said. Tudor Benev, Lead Business Analytics at Aon. “Employers must feel confident that integrated benefits deliver on the promise of improved health outcomes and ultimately reduce financial risk to the employer, helping to build a more resilient workforce.”
Managing the cost of chronic disease
More than 60 percent of adults in United State Living with a chronic illness, such as musculoskeletal pain or diabetes, chronic illness is one of the nation’s leading drivers $4.1 trillion Annual health costs. Integrated benefits can help curb the costs of chronic conditions. Cigna found that when members were enrolled in a triple integrated health plan, savings for the health plan were:
- almost $400 year for members with a musculoskeletal diagnosis.
- more than $1,400 General when an individual with a musculoskeletal diagnosis engages with a health coach.
- almost $2,500 per member per year with a diagnosis of diabetes.
Cigna has found that members who enjoy integrated benefits and support from wellness programs require fewer emergency room visits and less expensive inpatient surgical procedures. This includes:
- People with diabetes had a 17% lower rate of avoidable emergency room visits.
- Members affected by diseases of the musculoskeletal system suffer from:
- 133% lower rate of surgeries in inpatients.
- 26% reduced rate of opioid overdose.
- 16% less than for invasive procedures, such as injections and biopsies.
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 end-to-end clients. Cigna Pathwell harnesses the analytics, clinical expertise, treatment planning and personalized digital solutions of Evernorth, Cigna’s health services company, and integrates it with Cigna’s medical, pharmaceutical and behavioral benefits management and high-performance provider networks to create a comprehensive, personalized care experience for patients living with costly health conditions.
“This research underscores the improved health outcomes and savings we can achieve by creating a more personalized and connected healthcare journey, which we have created with Cigna Pathwell,” said Heather Dlugolinski, Senior Vice President, US Solutions, Cigna. “Cigna Pathwell connects clients to the providers and treatments most appropriate to their unique health conditions — and through our unparalleled data and expertise — can help anticipate their future needs to help them recover faster.”
help 2022 Integration Study Value They can be found here.
Aoun study methodology
help 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 employers. Aoun was independently involved in study design and implementation. The Book of Business study made use of Aon’s proprietary cost-effectiveness measure, a case-control matching methodology, comparing groups of individuals who are similar (age, gender, health status, benefits) but differ in their medical coverage, pharmacy, and behavioral benefits.
Cigna study methodology
Cigna used the matched case control methodology developed in Harvard university To produce complementary statistics on different subgroups of clients (those with specific comorbidities, those involved in health improvement activities, etc.).
Cigna Corporation is a global health services company dedicated to improving the health, well-being and peace of mind of those we serve. Cigna delivers choice, predictability, affordability, and access to quality care through integrated capabilities and connected, personalized solutions that enhance whole person health. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Evernorth companies or their affiliates, and Express Scripts or their affiliates. These products and services include a full range of health services, such as medical, dental, behavioral health, pharmacy, vision and complementary benefits, and other related products.
Cigna maintains sales capabilities 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.