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  • Home Employers Health and Wellness Programs Cigna Pathwell Bone & Joint

    Cigna Pathwell Bone & Joint®

    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.

    Building a new benefits package?

    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.

    Employees will have access to designated providers who meet quality and cost criteria, a clinical navigation experience supported by a Clinical Care Advocate2 who helps them make the right decisions about their care, and benefit design that rewards customers for optimal care choices.

    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 HealthcareSM* 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 Healthcare representative to begin.

    About Cigna Pathwell

    As the health care needs of our clients and customers continue to evolve, so do our solutions.

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

    * Offered by Cigna Health and Life Insurance Company

    View Cigna Healthcare Company Names

    1 Cigna Healthcare 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 Healthcare 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., https://www.boneandjointburden.org/, accessed October 2022.

    6 Evernorth Research Institute, MSK in the USA report, 2022. Results may vary.

    7 MSK claims for all Cigna Healthcare 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 Healthcare representative.

    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), or its affiliates. In Utah, all 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).

    © 2023 Cigna Healthcare.

    Let's Get Started

    Thank you for your interest in Cigna Healthcare. Please provide some basic information about your company and a representative will contact you.

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