Managing oncology costs & guiding employees to the right care

Cigna Healthcare’s leading solution to manage oncology costs—and for members, personalized guidance along their path to care

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Q1 2025 Quarterly Update  >  Managing oncology costs & guiding employees to the right care 

 

 

Prevention and early detection

The #1 way to manage oncology costs – Cigna HealthcareSM uses predictive modeling, ongoing outreach, reminders, and incentives – and our exclusive partnership with Know Your Lemons.

Cost management to maximize savings

Medical specialty drugs are the #1 driver of oncology costs – We’re a national leader with a network and benefits to manage medical specialty drugs (15% savings).1

Customer experience

Deeply committed to providing cancer-diagnosed customers with: seamless end-to-end experience and condition-specific resources and tools curated by survivors.

1 in 5

people will develop cancer2

 ~350%

 higher cost when cancer is found in stage 4 vs. 13

99%

survival rate among most common cancers as high as 99% when caught early4

 

 

Personalized guidance along the path to care

Care Advocates help members navigate holistic care paths, across the health care continuum

 

 

 

 

 

Meet Sarah,  age 42.

This is one year of her cancer journey.5

 

1. Diagnosis

Diagnosed with breast cancer after a positive mammogram, ultra-sound, and biopsy. Referred to oncology surgeon and oncologists.

2. Identification

Cigna Healthcare’s predictive analytics identified Sarah and outreaches by call or letter.

3. Engage

Sarah is assigned a Personal Oncology Nurse Advocate who helps her through her entire care journey. Today she finds Sarah in-network providers and advises on resources.

4. Behavioral Support

Oncology Nurse connects Sarah to oncology-specific behavioral support to manage anxiety with her new and unexpected diagnosis.

5. Care

Sarah meets with her oncology surgeon who is in-network and orders an MRI. MRI approval via text.

6. Care

Sarah meets with her medical team and is presented a treatment plan.

7. Expert Opinions

Oncology Nurse contacts Sarah and her provider for approval for an outside review by expert oncologists.*

8. Treatment

Expert opinion recommends an alternative treatment accepted by Sarah’s oncologists.*

9. Ongoing Support

Regular check-ins with her Oncology Nurse. Supports with benefits questions, clinical trials, nutrition guidance, side effects, claim issues support, etc.

10. Care

Sarah receives call notifying her the infusion site is out of network. She is provided with alternative locations and Sarah decides which works best.*

11. Care

Sarah completes her chemo regime. She is supported with regular outreach by her Oncology Nurse through surgery & radiation.

12. Care

Sarah receives her oncology maintenance medications via mail with 24/7 pharmacy support. Sarah enrolls in a manufacturing assistance program and has $0 co-pay.*

13. Behavioral Support 

Sarah continues to work with an oncology-specific behavioral specialist to manage anxiety about the cancer returning.

 

 

 

 

Want more insights from Cigna Healthcare? Check out these topics:

 

 

  1. Cigna Healthcare analysis 2022 based on commercial ASO national book of business. Individual results and savings will vary and are not guaranteed. Savings vary by market, funding type and utilization and are subject to change.
  2. World Health Organization. "Global cancer burden growing, amidst mounting need for services." Published February 1, 2024. Accessed February 11th, 2025. https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services
  3. McGarvey, N., et al. (2022) “Increased healthcare costs by later stage cancer diagnosis.” BMC Health Services Research. Figure 2. https://doi.org/10.1186/s12913-022-08457-6 . 
  4. American Cancer Society, last updated Jan 2024 – Colorectal , Prostate and Breast cancer 5-year survival rates. 
  5. This example is for illustrative purposes only. It's not an actual Cigna Healthcare customer experience.

* Available as a client election.

© 2025 Cigna Healthcare. All rights reserved.

Disclaimer:

Product availability may vary by location and plan type and is subject to change.  All group insurance policies may contain exclusions, limitations, reduction in benefits, and terms under which the policy may be continued in force or discontinued.  For costs and details of coverage, contact your Cigna Healthcare representative. 

Cigna Healthcare medical products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT), Connecticut General Life Insurance Company, Evernorth Behavioral Health, Inc., Evernorth Care Solutions, Inc., Express Scripts, Inc., or their affiliates, and HMO or service company subsidiaries of Cigna Health Corporation, including Cigna HealthCare of Arizona, Inc., Cigna HealthCare of California, Inc., Cigna HealthCare of Colorado, Inc., Cigna HealthCare of Connecticut, Inc., Cigna HealthCare of Florida, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Indiana, Inc., Cigna HealthCare of St. Louis, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of New Jersey, Inc., Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of Tennessee, Inc., and Cigna HealthCare of Texas, Inc. In Utah, medical products and services are provided by Cigna Health and Life Insurance Company (Bloomfield, CT). Policy forms: OK – HP-APP-1 et al., OR – HP-POL38 02-13, TN – HP-POL43/HC-CER1V1 et al. (CHLIC); GSA-COVER, et al. (CHC-TN).

Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT.) (CHLIC), Cigna HealthCare of Connecticut, Inc., and Cigna Dental Health, Inc. and its subsidiaries, including Cigna Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado, Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health of Florida, Inc., a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NE), Cigna Dental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna Dental Health of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc., Cigna Dental Health of Texas, Inc., and Cigna Dental Health of Virginia, Inc.  In Utah, all products and services are provided by Cigna Health and Life Insurance Company (Bloomfield, CT).  CHLIC policy forms: OK –HP-POL899 et al., POL115; OR - HP-POL862 et al., HP-POL121 04-10; TN – HP-POL767/HCDFB-CVR28 et al., HP-POL134/HC-CER17V1 et al.

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Accidental Injury, Critical Illness, and Hospital Care insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company (Bloomfield, CT). THESE POLICIES PAY LIMITED BENEFITS ONLY. THEY ARE NOT COMPREHENSIVE HEALTH INSURANCE COVERAGE AND DO NOT COVER ALL MEDICAL EXPENSES. THIS COVERAGE DOES NOT SATISFY THE “MINIMUM ESSENTIAL COVERAGE” OR INDIVIDUAL MANDATE REQUIREMENTS OF THE AFFORDABLE CARE ACT (ACA). THIS COVERAGE IS NOT MEDICAID OR MEDICARE SUPPLEMENT INSURANCE.