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Case Study: Health Disparities Advisory Council

Case Study: Health Disparities Advisory Council

Cigna has sought to improve engagement in preventive health among the customers associated with employers (clients) that participate in our Health Disparities Advisory Council (HDAC). The HDAC consists of 14 employers/clients with significant populations of employees/customers from under-represented communities, many of whom are at increased risk for metabolic syndrome. In 2017, nearly half of the HDAC customers at-risk for metabolic syndrome had not engaged in a preventive health screening or Cigna's metabolic syndrome program. To improve engagement, Cigna implemented a personalized and culturally tailored outreach campaign encouraging enrollment in the program and preventive care screening.

After one year, 30 percent of the targeted customers were now engaged with either the Cigna metabolic syndrome program or had completed a preventive screening. Additionally, 100% of HDAC clients developed workplace wellness strategy action plan goals. Employers like those on the HDAC with higher representation of populations with employees at risk for metabolic syndrome are at a significant disadvantage. Customers with metabolic syndrome cost more in annual total costs, compared to those without metabolic syndrome. By collaborating with employers to create innovative and culturally tailored outreach to improve engagement in preventive health, we can help reduce costs for our clients and improved health status for our customers.

Previously, the Council evaluated disparities in health assessment completion rates through a multi-year project. Health assessments are a key tool in helping employers and Cigna identify and address top health concerns and identify those in greatest need for intervention. The disparity in completion rates was specific for African-Americans and the root cause analysis indicated that top barriers included: communication and awareness, trust and privacy concerns along with being 'too busy'. Please read this health assessment white paper to learn more, or refer to the infographic below.

At Cigna, we believe better health, employee productivity, and satisfaction may be realized as we address health disparities.

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Disclaimer: The report covers calendar year 2018 and unless otherwise noted, excludes the combination with Express Scripts, which closed on December 20, 2018.