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Case Study | October 2015

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 HealthcareSM 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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1All statistics are based on a 2015 Cigna Healthcare self-insured client study. Individual client results will vary.

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