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Cigna Transition to Value-Based Health Care Results in $600 Million in Medical Cost Savings
Global health service company Cigna has exceeded its value-based care
goal of having 50 percent of U.S. Medicare and commercial health care
provider payments through alternative payment arrangements in the
company's top 40 markets by year-end 2018. Cigna established the goal in
2015 to accelerate the transition to alternative payment models that
link health care provider payments to both quality and affordability.
Cigna launched value-based care delivery a decade ago to begin to
transition to a health care delivery system that pays health care
providers based on improved health outcomes instead of the traditional
fee-for-service model, which pays providers based on volume. The move
helped the company shift 50.5 percent of provider payments to
alternative payment arrangements, and improve the quality of health care
for customers resulting in medical cost savings of more than $600
million from 2013-20171. In addition, it has contributed to
Cigna maintaining the industry's lowest medical cost trend for six
consecutive years2.
"Cigna's focus on quality and affordability enabled the company to
exceed its 50 percent alternative payment goal, offering more value for
our customers' and clients' health care dollars," said Scott Josephs,
MD, chief medical officer at Cigna. "This is a critical milestone as we
work to accelerate the pace of change in health care delivery in the
United States. Our commitment to value-based care and alternative
payment models is driving better health outcomes, increased
affordability and improved patient experience for the people we serve."
Today, more than 3.6 million Cigna commercial customers access
value-based care through 240+ primary care provider organizations, 500+
hospital facilities and 270+ specialist programs in six disciplines,
including 245+ Episodes of Care programs3. Ninety-six percent
of Cigna customers in the company's top 40 markets are within 15 miles
of at least three participating primary care providers4. In
addition, 85 percent of Cigna Medicare Advantage customers access
care through value-based arrangements2.
Cigna's transition to value-based health care delivery has resulted in
significant improvements in health care for its customers.
Top-performing accountable care program health care providers
demonstrated a quality performance of 11 percent better than the market5
with 92 percent of providers either meeting or exceeding quality
benchmarks6. Cigna collaborates with participating providers
who receive clinical support, data and insights to help improve health
outcomes. According to a survey7 of Cigna commercial
accountable care program providers:
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92 percent say the insights and guidance Cigna provides help them
improve performance and outcomes.
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95 percent say their relationship with Cigna is collaborative and
consultative rather than transactional.
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95 percent say it is easy to do business with Cigna.
"Cigna's combination with Express Scripts will further accelerate our
transition to value-based health care, including expanding outcome-based
relationships with pharmaceutical manufacturers to incentivize improved
patient health," said Dr. Josephs. "Cigna has led its industry with the
lowest medical cost trend and our combination will help improve both
quality and affordability."
About Cigna
Cigna Corporation (NYSE: CI) is a global health service company
dedicated to improving the health, well-being and peace of mind for
those we serve. Cigna delivers choice, predictability, affordability and
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 Cigna Health and Life Insurance Company,
Connecticut General Life Insurance Company, Life Insurance Company of
North America, Cigna Life Insurance Company of New York, Express Scripts
companies or their affiliates. Such products and services include an
integrated suite of health services, such as medical, dental, behavioral
health, pharmacy, vision, supplemental benefits, and other related
products including group life, accident and disability insurance.
Cigna maintains sales capability in over 30 countries and jurisdictions,
and has more than 160 million customer relationships throughout the
world. To learn more about Cigna®, including links to follow
us on Facebook or Twitter (News - Alert), visit www.cigna.com.
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1
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Cigna January 2019 analysis of national Accountable Care program
groups with effective dates from 2013 through 2017. Reimbursements
already paid to groups are subtracted from the savings to reflect
overall investment.
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2
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Cigna Corporation Investor Presentation, February, 1, 2019. https://www.cigna.com/assets/docs/about-cigna/CI-investor-kit.zip.
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3
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Cigna internal analysis of existing arrangements as of December 2018.
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4
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Cigna August 2018 analysis of national medical book of business
customers in the top 45 US markets, defined by market size, within
15-mile zip code radius (zip code to zip code distance of provider
main office location) of three Accountable Care program physicians.
Subject to change.
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5
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Cigna June 2018 analysis (weighted average) of top five national
Accountable Care program groups per metric compared to local market
in 2017. Accounts for 23,405 aligned customers. Comparisons to
market are established using Cigna internal claims data.
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6
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Cigna June 2018 analysis of 2017 data of Accountable Care program
groups nationally, active at least one year.
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7
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Cigna Accountable Care Organization (ACO) Experience Survey,
September 2017.
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View source version on businesswire.com: https://www.businesswire.com/news/home/20190207005236/en/
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