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Cigna Pathwell Bone & JointSM

We help guide your employees to the right care at the right time, resulting in a positive impact on health outcomes—and lower costs for you.

Cigna Pathwell Bone & Joint – A New Standard of Care for Musculoskeletal Conditions

One of the most significant health challenges in the U.S. is the rising prevalence of Musculoskeletal (MSK) conditions, which is one of the top medical spend categories for employers.1 Unfortunately, the MSK condition care journey can be fragmented, and interventions may reach customers too late, causing a ripple effect of inflated costs, ineffective treatments, and unnecessary surgeries.

Cigna Pathwell Bone & Joint, a condition-specific care program, will help employees with spine, hip, knee, or shoulder pain get on the right treatment path, reduce unnecessary surgeries, and reduce your organization’s spend. Customers will have access to designated providers who meet quality and cost criteria, a clinical navigation experience supported by a Clinical Care Advocate2 that helps them make the right decisions about their care, and benefit design that rewards customers for optimal care choices.

Health Accelerated: Life Connected

About Cigna Pathwell Bone & Joint

Get Ahead of High Costs

Using predictive models, we can help identify customers at risk for spine, knee, hip, or shoulder surgery up to one year in advance3 and proactively reach out to encourage enrollment in the Pathwell Bone & Joint program to help arrange proper support.

Personal Care Advocate

A Care Advocate will work 1:1 with your employees via digital messaging or over the phone. They will customize the program’s insights and assessment responses to each employee’s unique needs, all while guiding, motivating, and encouraging their success.

Digital Guidance and Engagement

We help employees take greater control of their MSK pain with our guided digital experience. Powered by insights and evidence-based guidelines, the digital experience includes personalized activities, assessments, content, treatment guidance support, care navigation tools, and more.

The Right Care at the Right Time

When care is needed, we help connect your employees with top-tier, in-network providers (either in person or virtually) and help optimize available benefits. Employees also have access to programs that may support their medical, behavioral, or lifestyle needs throughout their MSK journey.

Surgery Benefit

If faced with surgery, employees will have access to designated, in-network orthopedic surgeons and neurosurgeons that meet rigorous Cigna affordability, quality, volume, and outcome selection criteria. The benefit includes zero or low-cost surgery,4 pre- and post-surgery support, and a travel benefit.

Did You Know?

  • More than 1 in 2 adults have an MSK condition5 including low back, osteoarthritis hip, and osteoarthritis knee pain
  • 66% higher spend with patients that have an MSK and identified behavioral health condition6
  • 10x higher than MSK costs alone for MSK patients who are opioid-dependent7

Ready to learn more about Cigna Pathwell Bone & Joint?

Contact your Cigna representative to begin.

About Cigna Pathwell

Cigna PathwellSM is a set of solutions that help provide the best path forward to wellness, enhancing every step of the patient journey to clarify, streamline, and personalize care, moving businesses down the path of continued growth.

Related Areas

Wellness, Mental Health, and Behavioral Cigna Pathwell SpecialtySM

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1 Cigna book of business 2022 analysis for 2021 full year medical and pharmacy claims

2 These care advocates are nurses and physical therapists holding a current licensure in a minimum of one state but do not practice nursing or physical therapy or provide medical advice in any capacity as a care advocate.

3 Based on proprietary Cigna algorithms, data and claims analysis to assess potential health risks. Timing and results may vary.

4 When program participation requirements are met for covered surgeries. For non-HSA plans, the employer’s plan pays 100% of eligible expenses. For HSA plans, plan pays 100% after deductible is met.

5 The Burden of Musculoskeletal Diseases in the U.S.: Prevalence, Societal and Economic Costs (BMUS) 2020.

6 Evernorth Research Institute, MSK in the USA report, 2022

7 MSK claims for all Cigna Commercial membership over 3+ year period (2018-2021) YTD is through July. Includes Medical, Behavioral and RX allowed spend.

Product availability may vary depending on location and plan type and is subject to change. All group insurance policies and benefit plans contain exclusions and limitations. For costs and complete details of coverage, contact your Cigna representative.

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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., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

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