By integrating medical, pharmacy, and behavioral benefits into one holistic package, healthcare is easier, more predictable, and more affordable, said Matt Totterdale, senior vice president of Cigna Pharmacy.
After analyzing more than 2.2 million medical claims for Cigna customers insured through their employer for two years, Cigna published its study on the value of integration, which ultimately highlights how employers are integrating medical, pharmacy and comprehensive Realized a significant return on investment in terms of member cost, engagement and overall health outcomes.
According to the study, Cigna customers achieved an average of $ 227 per customer savings (up to $ 4,741 per customer per year for those identified as having an opportunity to improve their health) when they took the built-in benefits of Cigna offered.
Cigna also reports that savings for high-cost customers can be even more significant: the study shows total medical cost savings of more than $ 6,700 for those diagnosed with oncology and more than $ 2,700 for those diagnosed with diabetes.
“Through effective contracts with pharmaceutical manufacturers, working with suppliers, proactive customer loyalty, and processing real-time data and insights, we can close gaps in care and drive meaningful interventions,” said Totterdale.
In addition, the study by Cigna shows that customers do much more for their health through the integrated range of services.
In particular, the study found that engagement was higher among customers with depression (21 percent), diabetes (11 percent), or an oncological diagnosis (10 percent), as well as a 25 percent higher customer engagement in Cigna programs such as counseling, lifestyle or wellness coaching, smoking cessation and case management for more complex conditions.
And why is commitment so important? As Cigna notes, dedicated customers are less likely to visit emergency rooms (which in turn eliminates unnecessary costs) and more likely to use on-network, high-performing providers.
Preventive screening processes are also easier to achieve with customer loyalty. Cigna notes that this “holistic approach” removes barriers to care and improves the accuracy of diagnoses.
Commenting on the positive aspects of an integrated and holistic approach to healthcare, Totterdale said, “We are with them [customers’] Side to help them take steps to achieve their best health – mind and body. This comprehensive approach to healthcare eliminates these loopholes, helps protect against surprise costs and leads to better results for our customers. ”
Elsewhere in the IPMI space, a new study from Aetna International highlights that expats expect more from their health care providers and that they would consider buying additional coverage (and even some land to move to) if it means they could be confident that they would have better access to health care.