Predictive data helps us identify members who are at risk for knee, back, or hip surgery up to one year in advance with 93% accuracy. This is one way we help our members avoid surgery and access the personalized care that’s for them.
Prediction prevents chronic and costly conditions.
"Our predictive models can tell us who we should reach out to and engage with sooner, before problems get severe and become a crisis."
Dr. Douglas Nemecek, Chief Medical Officer of Behavioral Health at Evernorth® Health Services
Integration makes health care better.
Our research shows that members with integrated medical, pharmacy, and behavioral benefits experience:
- 133% lower rate of surgeries in an inpatient setting2
- 16% fewer nonsurgical procedures, such as injections and biopsies, which were avoided because they were unnecessary2
“When people are connected to the right resources as early as possible, they can stay engaged in the right care,” Dr. Nemecek said. “That’s how we optimize health outcomes.”
A better standard of care
Cigna Pathwell Bone & Joint®, a condition-specific care program, is our evidence-based, coordinated, and personalized approach to bone and joint care.
- Members at risk for spine, knee, hip, or shoulder surgery are identified before pain can slow them down and make them sit on the sidelines.
- Each member has easy access to their own dedicated clinical care advocate, who will champion and coach them to success.
- Patients get care the way they want it—through personalized activities, assessments, expert content, treatment guidance support, care navigation tools, and email reminders.
More ways to better support you
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Personalized, one-on-one support.
Raina Cordell, RN, Clinical Programs, Cigna Healthcare, talks about Cigna Healthcare’s approach to personalized bone and joint health.
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Get ahead of bone and joint pain.
Because whatever brings joy to life is easily sidelined by pain.
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Treating people holistically for better experiences and outcomes.
The importance of treating people holistically – body and mind.
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Gain control over bone and joint pain.
People with chronic musculoskeletal (MSK) conditions may live in fear of injury, pain, missing work, or missing out on time with friends and family.
1. Based on proprietary Cigna Healthcare algorithms, data, and claims analysis to assess potential health risks. Timing and results may vary. Accuracy is an overall model performance measure where the model ranks people in the right order 80% of the time.
2. “Value of Integration Study.” Aon's 2022 Value of Integration study is based on a two-year analysis (2020–2021) of medical claims of over two million Cigna Healthcare members who receive coverage through their employers. Aon was independently engaged to design and perform the study. The book-of-business study leveraged Aon’s proprietary Cost Efficiency Measurement, a match case-control methodology, comparing groups of individuals who are alike (age, gender, health status, and benefits) but differ in terms of their coverage of medical, pharmacy, and behavioral benefits. Cigna Healthcare used a match case-control methodology developed at Harvard University to produce supplementary statistics on different subsets of members (those with certain comorbidities, those who engaged in health improvement activities, etc.).