CIGNA
Analyst: Paula Wade
Report Summary
CIGNA, the nation's fifth-largest insurer by covered lives, remains a leader in serving self-insured large employer groups, and has struggled to push into the mid-sized group and individual markets. But the company is an innovator in creating new funding options for employers, and in pursuing care coordination models with large multi-specialty provider groups across the country.
Questions Answered In This Report
About 80 percent of CIGNA's business is administering self-insured plans, which is a low-margin business. How is CIGNA faring in its attempt to convince mid-sized businesses to make the leap toward self-insurance? Is this trend as significant as some competitor health plans fear?
CIGNA is a leader among health plans in pushing care coordination models through its ACO-style contracts with multi-specialty physician groups. Where are these collaborative models and how large are they? Are there any more of these planned?
CIGNA has its own PBM and mail-order operation, and is not eager to outsource that function. Given its diminishing Rx market share, why doesn't it sell out to a PBM and do a long-term contract deal, as others have done?
Companies Mentioned In This Report
- BlueCross BlueShield of South Carolina
- Aetna
- BlueCross BlueShield of Tennessee
- Cancer Treatment Centers of America
- CareCentrix
- CIGNA HealthCare
- EMD Serono
- Merck
- Relay Health
- UnitedHealth Group