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Long-Term Stability for the Pipe Industry Health and Welfare Fund of Colorado

Case Study | October 2015

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Multiyear Trend Management Case Study

Pipe Industry Health and Welfare Fund of Colorado

To reduce health care costs and improve the long-term stability of the Health and Welfare Fund, Cigna and the Pipe Industry Health and Welfare Fund of Colorado have worked together to develop and execute a multiyear trend management plan.

We trained plan participants on how to become better health care consumers — providing them with multiple clinical advocacy programs and health improvement tools. Learn how we helped engage plan participants and reduce health care costs to improve long-term stability of the Health and Welfare Fund over five years.

Real Outcomes

  • Personal Health Solutions (PHS+) reduced medical plan spend by $564,7631
  • Decreased combined medical/pharmacy plan spend by 9.8%1
  • Medical plan spend decreased by $599,521 by implementing Medicare-based maximum reimbursable charge for out-of-network claims1
  • Lowered unnecessary emergency room utilization, increased utilization of urgent care, convenience care and doctors’ office visits1
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All statistics are based on a 2015 Cigna self-insured client study. Individual client results will vary.