CIGNA Compass Uses Anticipatory Computing to Help Health Plan Customers Stay Healthy While Saving Money

BLOOMFIELD, Conn., January 14, 2015 – Global health service company, Cigna (NYSE: CI), announces today the release of Cigna CompassSM , a new web application designed to use anticipatory computing to guide U.S. health plan customers to proactively build their own personal health care team, save money, and get the most from their plans.

Cigna announced the introduction of the new digital experience at the National Business Group on Health’s 2015 Employers’ Summit on Health Care Costs and Solutions .

Cigna Compass synthesizes data related to a consumer’s medical plan use, biometric data, incentive information, claims history, and coaching program involvement. Those insights create personalized alerts to notify customers of their top opportunities to improve their health and lower their health care costs.

The tool is designed to simplify the complexity of health care decision making for consumers. In a 2012 study commissioned by Cigna, the research found that consumers ranked “making health care system less confusing through benefit navigation” as their highest priority. Other studies have shown that the likelihood of consumers choosing more efficient health care providers is directly impacted by how cost and quality data are presented**.

Cigna first developed Compass as an innovation initiative for Cigna health plan client JPMorgan Chase. “At JPMorgan Chase, we’re committed to developing a culture of health to help employees and their families make wellness a part of their everyday lives,” says Bernadette Branosky, U.S. Benefits Manager for JPMorgan Chase. “We challenged Cigna to develop a technology-based guidance system to put our people on the path to better health and help them all along their journey. The result is Compass – a digital health care navigation experience that is helping our employees become more aware of their health, improve productivity, and more effectively manage their health care costs.”

“We have to reimagine the health benefits experience for our customers,” says Joan Kennedy, Cigna Vice President for Consumer Engagement. “For the most part consumers have had to find opportunities to maximize their benefits on their own. In contrast, Cigna Compass seeks them out for you by anticipating your needs and preferences giving a targeted choice of solutions.”

By pairing proprietary algorithms with a very clean, simple user experience, Cigna Compass delivers personalized information to customers to:

  • Help them build a proactive personal health team of quality, cost-efficient health care professionals and services by guiding customers to stay in network and choose local cost-effective options such as urgent care, preferred labs, and free-standing radiology facilities;
  • Educate them on how plan funds work together (HRA/HSA, Incentives, FSA) to lower their out-of-pocket costs;
  • Remind them about ongoing reward programs;
  • Encourage use of available benefits such as personal health coaches and other programs and resources to improve health;
  • Benchmark them against their peer group for the identified opportunity selected and/or how that peer group has benefited from the recommendation (For Example, “Did you know that 70% of people who work with a coach make progress toward their goals?”).

“For example,” Kennedy says, “many Americans do not select a doctor until they really need one, and can make an uninformed and potentially costly choice. To avoid that scenario, Cigna Compass will contact a customer who does not have a designated primary care doctor, and provide a list of nearby in-network health care professionals and facilities based upon the customer’s location before they need to use care.”

Cigna Compass is also designed to reach out to any customer who has an identified opportunity like alerting someone that has not received preventive care with a note that the individual’s plan offers an incentive for a yearly checkup or recommended lab test. As customers make progress toward their health goals and incentive rewards, they can see their updated personal information as well as new recommendations every time they log in, whether from a desktop, tablet, or mobile device.

Early survey results show that 71% of customers find Compass very easy to use, 72% would recommend Compass to a colleague, and 62% said that Compass helps them make better decisions regarding their health.

Cigna Compass is currently being piloted by JPMorgan Chase and will expand to a select number of U.S. employers in 2015. Cigna plans to offer Compass to a broader segment of Cigna’s employer sponsored health plan customer base in 2016 and beyond.

MEDIA: For a live demonstration of Cigna Compass, please email joseph.mondy@cigna.com

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to helping people improve their health, wellbeing, and sense of security. All products and services are provided exclusively through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Life Insurance Company of North America, Cigna Life Insurance Company of New York, and their affiliates. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, and vision care benefits, as well as other related products including group disability, life, and accident coverage. Cigna has sales capability in 30 countries and jurisdictions, with approximately 85 million customer relationships throughout the world. To learn more about Cigna®, including links to follow us on Facebook or Twitter, visit www.cigna.com .

 

Healthtech: Which Portland Company was Named a Top Digital Health Investor for 2014?

Cambia Health Solutions was one of the most active corporate investors in the digital health universe in 2014, according to Rock Health, a full-service seed fund for digital health based in San Francisco. (See the full story at: http://www.bizjournals.com/portland/blog/health-care-inc/2015/01/healthtech-which-portland-company-was-named-a-top.html

 

 

ConnectiCare Partners with Doctors Statewide; Sees Members’ Primary Care Visits Rise

Community Medical Group, Inc. (formerly known as New Haven Community Medical Group, Inc.) the Latest to Begin Collaboration Arrangement

FARMINGTON, CT (December 11, 2014) – ConnectiCare, Inc. and Affiliates, Connecticut’s local health plan, has made significant progress in getting its members to their doctors regularly through active collaboration arrangements with doctors statewide.  As a result, primary care visits are up and hospital admissions, readmissions and emergency room visits are down.

ConnectiCare has practice collaboration arrangements with eight Connecticut-based medical groups throughout the State including:  Integrated Care Partners (Hartford HealthCare), St. Francis HealthCare Partners, ProHealth Physicians, Connecticut State Medical Society IPA, Grove Hill Medical Group, Charlotte Hungerford Multi-Specialty Group and Connecticut Multi-Specialty Group.  Most recently, Community Medical Group, a physician-led independent practice association, based in New Haven has entered into a collaboration arrangement with ConnectiCare. Continue reading

Allegheny Health Network, Highmark Health and Johns Hopkins Medicine Announce Collaboration

PITTSBURGH, Pa., Dec. 22, 2014 (GLOBE NEWSWIRE) — via PRWEB – Officials at Highmark HealthAllegheny Health Network, Highmark Inc. and Johns Hopkins Medicine today announced the signing of a new master collaboration agreement that will complement the formal oncology collaboration that began earlier this year. These collaborations aim to leverage the collective strengths of the organizations and improve the availability and affordability of health care to Pennsylvania patients.

“Highmark Health is proud and excited to expand the scope of our partnership with Johns Hopkins to improve patient care today and in the future,” said David L. Holmberg, president and chief executive officer of Highmark Health. “Our goal is to ensure that patients have affordable access to high-quality health care services, and the increased collaboration we anticipate with Johns Hopkins through this agreement is an important step in the fulfillment of that mission.” Continue reading

Colorado Wins $65 Million Health Care Innovation Grant

GRAND JUNCTION, Colo., Dec. 17, 2014 /PRNewswire-USNewswire/ — The Centers for Medicare & Medicaid Services has awarded Colorado $65 million in State Innovation Model (SIM) funding to create a coordinated, accountable system of care that improves integration of physical and behavioral health services.

The award builds on an earlier planning grant Colorado received in 2013, which funded development and identification of four major goals:

  • Create a coordinated, accountable system of care that gives Coloradans access to integrated primary care and behavioral health.
  • Leverage the power of the public health system to achieve broader population health goals and support delivery of care.
  • Use outcomes-based payments to enable transformation.
  • Engage individuals in their care. Continue reading

Humana Launches Points of Care to Support Medicare Advantage Members in Managing Health

LOUISVILLE, Ky.–()–More than 2.9 million Humana Medicare Advantage members and their family and friends now have access to HumanaPointsofCare.com, a new online destination from Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies.

“Humana Points of Care enables Medicare members and their circle of support to maintain a sense of community on their journey to achieving optimal health”

Humana Points of Care offers a variety of comprehensive health and education tools to assist Humana Medicare Advantage members nationwide and provide support and resources for their family and friends which today account for approximately 65.7 million unpaid caregivers in the United States.  Continue reading

Cigna and Safeway Reference-Based Pricing Study Shows Employee Education and Online Shopping Tools Can Help Control Lab Costs

BLOOMFIELD, Conn. & PLEASANTON, Calif.–()–A study conducted by Cigna (NYSE: CI) and Safeway Inc. (NYSE: SWY), published in the December issue of the American Journal of Managed Care, shows that reference-based pricing can help control lab costs when individuals are supported with education and an online shopping tool.

“The understanding of reference pricing along with adoption of online tools to inform the consumer has increased significantly since the early days of 2011. Thoughtful application of reference pricing warrants consideration as a mechanism to improve value in health care and help individuals reduce their costs for certain services.”

The study, “Reference-based Pricing: An Evidenced-based Solution for Lab Services Shopping,” is the first published reference-based study to focus on lab services. Previous published studies have focused on the application of reference-based pricing to pharmaceuticals.

Reference-based pricing is a benefit design that sets a maximum contribution (reference price) from the health plan to pay for a particular service; in this case, lab services such as a lipid panel, comprehensive metabolic panel or prostate-specific antigen test. Employers see this type of benefit design as a way to incent employees to consider the price of services when making care decisions. Employees reap a savings when they choose services at or below the reference price. If they choose services above the reference price, they are responsible for the additional cost. Continue reading

Wellmark, Hy-Vee & UnityPoint Health Collaborate on New Health Insurance Plans

Wellmark Blue Cross and Blue Shield, Hy-Vee and UnityPoint Health jointly announced a unique new option in health insurance, collaboratively designed to reward customers for healthy behaviors. Blue RewardsSM integrates the true coordinated care of the UnityPoint Health provider network combined with the retail convenience of Hy-Vee’s pharmacy, healthy food, wellness and dietitian services all in an affordable ACA-health insurance option from Wellmark Blue Cross and Blue Shield.

“This collaboration is part of our strategy to keep health care local and sustainable, and promote health through convenience,” said Laura Jackson, Wellmark’s executive vice president for Health Care Innovation & Business Development. “We know consumers turn to brands they know and trust, which makes this collaboration among three strong Iowa brands even more meaningful for Iowans.” Continue reading

Humana Once Again Named Top Payer in athenahealth® PayerView® Rankings

LOUISVILLE, Ky.–(BUSINESS WIRE)–For the second year in a row, Humana Inc. (NYSE: HUM) was ranked as the number one company for its ease of doing business with providers. Humana ranked number one in overall performance among 148 U.S. health insurers based on a review of 2013 claims-payment data conducted by athenahealth, Inc. (NASDAQ: ATHN). Continue reading