Cigna Study Proves Interesting; Cigna, Good Samaritan Health and SCCIPA Form New Alliance

06:06 11/20/2017

A Cigna CI  study found that customers whose medical and pharmacy benefits are both administered by Cigna are more active in health coaching and case management programs than those with only medical coverage with the company.

Increased engagement in managing health conditions is helping to generate medical cost savings for employers of $253 annually, on average, for each individual identified as a candidate for a health improvement program, compared to those employers that have medical benefits with Cigna, but use another pharmacy benefit manager.

The study found that 12 percent more individuals participate in health coaching and case management programs when their pharmacy and medical benefits are managed together and 12 percent more individuals complete multiple health improvement activities when working toward their goals.

“Every time a prescription is filled, there is an underlying medical issue. A real-time view of our customers’ health needs across both their pharmacy and medical benefits enables us to more easily identify and support those who need help in managing their health. We’re able to provide personalized guidance to customers on actions that will drive better health – such as improving adherence to their medications – and provide cost savings for them and their employers,” says Scott Josephs, M.D., Cigna national medical officer.

Improved health engagement resulted in even more significant savings for certain medical conditions. Employers saved, on average, $2,816 on annual medical costs for each individual being treated for diabetes who had both pharmacy and medical benefits administered by Cigna.

“Even the best doctors and most effective medicines can only do so much if patients are not also actively involved in improving their health. Under the plans we administer, pharmacy is the most frequently used benefit, and we use those touchpoints to encourage customers to participate in programs available across their benefits. The study helps confirm the added value we can provide to customers and clients when we are able to use this connected approach,” said Jon Maesner, PharmD, Cigna chief pharmacy officer.

Cigna also announced a new alliance with Good Samaritan Health System and the Santa Clara County IPA (SCCIPA) to offer a simple, comprehensive and focused approach to quality care with improved affordability in Santa Clara County. Health plans will be available starting January 1, 2018.

The Good Samaritan Health System, which includes Regional Medical Center of San Jose and Good Samaritan Hospital-as well as three surgical centers and three Care Now Urgent Care centers, provides quality healthcare to residents throughout the greater Silicon Valley community.

SCCIPA operates like a clinic without walls, linking patients and health plans with our established network of physicians, hospitals, lab, x-ray, physical therapy and other providers.

“By aligning Good Samaritan Health with a customized network of primary care doctors, specialists and hospitals, we’re creating a new kind of collaborative care initiative to offer Santa Clara County customers,” said Peter Welch, president for Cigna's Northern California market. “Together we can help affiliated providers deliver measurably better care quality at a more affordable price by improving health care outcomes through the greater use of evidence-based best medical practices and more closely connecting the delivery of care for customers in need of acute treatment.”

The alliance will be governed by a joint operating committee comprising representatives from Cigna, Good Samaritan and SCCIPA.

“Together with Cigna and SCCIPA, we can develop health plans that achieve our common goals - better health and affordability, and a better experience for our patients,” said Joseph DeSchryver, chief executive officer, Good Samaritan Hospital. “When providers and payers work collaboratively, we can achieve better value for employers and individuals, greater quality in health care and stronger, healthier communities.”

This article has been provided by a Chasing Markets contributor. All content submitted by this author represent their personal opinions, and should be considered as such for entertainment purpose only. All opinions expressed are those of the writer, and may not necessarily represent fact, opinions, or bias of Chasing Markets.
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