Cigna Healthcare estimates $200 million in medical cost reductions over three years by enhancing its care management programs with expanded AI-enabled capabilities.
In a July 23 news release, the insurer aims to reach roughly 20% more customers with complex or chronic health needs — such as cancer, high-risk pregnancy or behavioral health conditions — with personalized clinical support. Cigna is leveraging technology to help identify those individuals and connect them with Cigna nurses and other healthcare professionals more proactively.
Cigna pointed to early data indicating customers involved in these programs save around $2,000 per year in medical costs on average.
AI capabilities include advanced predictive models and AI-enabled insights to identify emerging health needs more efficiently. The AI capabilities also aim to increase access and tailored engagement across communication channels.
“By combining predictive analytics, AI-enabled capabilities and clinical expertise, we can identify health needs earlier and connect more customers with personalized support when it has the greatest impact,” said Bryan Holgerson, president at Cigna Healthcare U.S. and executive vice president, customer health outcomes, at The Cigna Group.
The insurer reported its care management programs have 95% customer satisfaction among those surveyed and a 42% reduction in avoidable inpatient stays for customers who engage early.
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