September 28, 2022 – Cigna has unveiled Cigna Pathwell, a new, industry-leading suite of products that connects customers with quality care providers to help improve health outcomes and lower costs for customers, their families, and their employers. Cigna Pathwell harnesses the analytics, clinical expertise, treatment planning, and personalized digital solutions within Evernorth, Cigna’s health services business, and integrates them with Cigna’s medical benefits management and high-performing provider networks to create a comprehensive and personalized care experience for patients living with high-cost health conditions.
Cigna Pathwell SpecialtySM works within the medical and pharmacy benefits to coordinate and drive down the cost of care, both for patients who need infusions or injectable medicines and for their health plans.
Patients in enrolled plans receive concierge service from Pathwell Specialty’s dedicated care management team to connect them to convenient, quality, and affordable options for infusion therapies through Cigna’s national Pathwell network of quality providers. The patient’s treating physician continues to oversee their care, and the patient can receive infusions from participating hospitals, infusion centers, physicians’ offices, or, in some cases, at home. Alternatively, treating providers can order specialty infused or injected medications directly through a specialty pharmacy in the Cigna Pathwell Specialty network.
Over time, Cigna Pathwell Specialty will expand to include additional care services to support patients using infused or injected therapies throughout their health journey, including behavioral, wellness, and nutritional services, and virtual visits with doctors. It will also include support and resources for patients’ caregivers through the Cigna Caregiver Bridge Program.
A recent study from the Evernorth Research Institute found that nearly one in four people seek care for “wear and tear” musculoskeletal conditions such as strains and sprains, and that these conditions drive significantly higher health care spending – accounting for nearly two-thirds of all musculoskeletal care utilization and spend.
Pathwell Bone & JointSM combines Cigna’s national network of quality providers, personalized benefit designs, programs with whole-person support, access to behavioral health care, and physical therapy (digitally or in-person). Cigna’s capabilities, combined with Evernorth’s digital navigation tools and advanced predictive analytics that can anticipate a surgery up to a year in advance, create a holistic, integrated musculoskeletal solution that will improve health outcomes while reducing unnecessary surgeries that can lead to increased costs. If surgery is necessary, Cigna’s benefit provides support with low or zero cost for surgery from admission through discharge. The Evernorth study also found that musculoskeletal spend can be reduced up to 40% with appropriate interventions and better-coordinated care – which is what Pathwell is designed to provide.