We are committed to ensuring that all people have the opportunity to achieve their full health potential regardless of social, economic, or environmental circumstances.
Promoting Affordable and Equitable Health Care for All
Our health starts in the communities where we live, work, and play. That’s because health behaviors and environmental factors, socioeconomic status, education, and neighborhood have a greater impact on population health than biology or clinical care.1
Too often these drivers of health, referred to as social determinants of health (SDOH), put historically marginalized, underserved, and underrepresented populations, such as racial and ethnic minorities, individuals with disabilities, LGBTQ+ individuals, and people living in lower income or rural communities, at risk for experiencing worse health outcomes. To achieve health equity, the highest level of health for all people, we must address these complex societal and environmental components.
Let’s Explore Health Equity
Watch this short video to learn about how Cigna prioritizes health equity to eliminate health disparities. (Length 1:53)
Let’s Explore Health Equity
What We’re Doing
A person’s gender, race, education, income, or zip code should never dictate the quality of their health. We have a responsibility to our clients, customers, and communities to expand and create solutions and benefits to address health inequities where we know they exist.
We believe that closing gaps in health equity starts from within, which is why we’ve committed to empowering our staff to approach their work through an equity lens. Cigna’s
How We’ll Get There
Maternal Health: Rising preterm birth rates among African-American/Black customers in several of Cigna’s markets required action. We launched a maternal health program that addresses common SDOH barriers to care, including free implicit bias training for providers, and prenatal vitamins and aspirin for enrolled pregnant customers. Additionally, a Cigna maternity nurse works with customers and their providers to ensure evidence-based interventions (e.g., cervical length screening, progesterone, and regular mental health and depression screenings) are performed, and coordinates free transportation to prenatal visits and testing appointments for eligible customers. We plan to expand this program in additional markets.
LGBTQ+ Health: To address the numerous health disparities faced by the
Case Management Solutions: SDOH screening is incorporated in all of Cigna’s case management programs to ensure customers’ unmet social needs are addressed with their medical conditions.
We are the first health plan to test and validate the National Comprehensive Cancer Network (NCCN)
Client Collaboration: We collaborate with our clients and customers to develop tools and resources that improve population health management. This includes evolved
Our Cigna Collaborative Care® (CCC) provider model rewards health care providers who conduct customer screenings for SDOH and refer customers to additional care that addresses unmet social needs. Additionally, providers are rewarded if they identify areas of health disparities among their patients and address these disparities with a written action plan. We’ve also developed an abundance of
We recognize that the digital divide exacerbates health disparities and are committed to the development of digital solutions that promote health equity and reduce the “digital divide.”
Regardless of where and how our customers receive their care, our Language Assistance Services ensure clear, simple communication for families covered by Cigna with limited English proficiency (LEP) and other disabilities to improve communication and health outcomes.
Cigna’s transformative, differentiated approach to data and analytics enables customer populations to be analyzed according to our proprietary social determinants index (SDI). This helps us understand the specific disparities a population may face based on their geographic location and enables greater understanding of inequities between subpopulations (e.g., gender, race, and ethnicity) based on claims data.
We also use the index to identify geographic areas with an increased risk of facing SDOH-related obstacles that negatively impact health outcomes and health care utilization. With this information, we are working to enhance our clinical program offerings, close disparities, and better serve vulnerable customer populations.
- Identify communities of Cigna customer populations whose overall health status and utilization are impacted by SDOH and determine if additional resources need to be deployed.
- Identify customers who are at increased risk for poor health and utilization based on their residence and for whom personalized solutions may need to be arranged to achieve better health and affordability.
By incorporating the SDI to predictive models and case management programs, we’re improving our ability to identify and prioritize customers at increased risk for poor health outcomes and utilization then deploy additional support and resources to create measurable change.
We have a deep commitment to contributing to a society that is more socially just, healthier, and working towards health equity for all. Through our Corporate Charitable Giving and the Cigna Foundation, we support
Everyone deserves the opportunity to find their best path to health and wellness. It is possible to achieve better outcomes for all by identifying the environmental and social obstacles that may be impeding employees’ progress. Working together, we can change lives for the better.
The Heart of a Healthy WorkforceCOVID-19 has radically changed the world of work. Employers who embrace a well workforce will continue to position themselves ahead of the curve.
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Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see
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