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Southern California

March 30, 2018
Something exciting is going on in Southern California that you’ll want to know about

We are changing the health care experience for employers, employees and their families to help drive down costs, improve access, quality and affordability while working to make the health care experience simpler. With health plans designed to offer: access to quality care. Improved outcomes. Lower costs with multiyear rate guarantees.

Average savings:*

  • 13/7%** (PMPY) membership costs
  • 28.4%** (PMPY) on pharmacy spending
    PMPY - Per member per year

How are we working to do this?

  1. We align with award-winning*** provider systems.
    • We have aligned with three award-winning, well-recognized provider systems in Southern California: HealthCare Partners in Los Angeles County, Scripps Health in San Diego County and St. Joseph Hoag Health in Orange County to offer the Southern California Select plan.
    • Working closely together we gain a deeper understanding regarding patterns and trends. With this we can help improve customer engagement to promote healthier outcomes for those who may be heading toward significant health issues.
  2. We work closely with our clients and the providers.
    • The providers actively participate with Cigna and our clients to look at the top drivers of costs and analyze the employee population. This allows us to work together to close gaps in care and implement innovative and creative solutions to meet the unique needs of our clients, to help drive health care costs down and enhance the health care experience.
  3. We provide employees what they need.
    • Employees and each of their family members have the convenience of choosing the provider system they would like to be aligned to: HealthCare Partners, Scripps or St. Joseph Hoag Health.
    • They benefit from our wellness strategies, solutions, programs, tools and resources to help them engage in their health, which can reduce out-of-pocket health related expenses and drive plan costs down.
    • They have access to our customer service center anytime, 24/7/365.

We are excited about this offering and we hope you are too.

To learn more:

In Los Angeles County watch HealthCare Partners Select plan video

In San Diego County watch Scripps Select plan video

In Orange County watch St. Joseph Hoag Health Select plan video

Contact your local Cigna representative for plan details.
 

* Data identified is for the St. Joseph Hoag Health Select plan. Figures based on incurred claims of the 2016 full calendar year for the Select plan sold in Orange County; seven clients with multiple plans offerings; 44,919 total members, 55.2% Select plan, 33.5% Full Network, 5% HSA, 6.3% OAP. Run out claims paid through 03/31/2017. Individual client results will vary.

** Based on Cigna CAP (Consultative Analytics Platform) reporting, assessed May 2017 for 2016 for St. Joseph Hoag Health Select plans. Individual client/customer results will vary.

**“About CAPG’s National Standards of Excellence™ Survey.” CAPG Standards of Excellence. http://www.capg.org/modules/showdocument.aspx?documentid=2857. Accessed 3/13/17. Scripps La Jolla Hospitals and Clinics Nationally Ranked in 7 Specialties. https://www.usnews.com/info/blogs/press-room/articles/2017-08-08/us-news-announces-2017-18-best-hospitals. U.S. News. Accessed 5/1/17. “#1 Hospital on the East Coast,” http://health.usnews.com/best-hospitals/area/ca/st-joseph-hospital-6930106. 3/7/17.

March 30, 2018
Helping Las Vegas employers manage costs without sacrificing quality.

Cigna LocalPlus® is a cost-efficient plan designed to help your clients manage rising health care costs, without sacrificing the quality care their employees want and expect. In fact, with LocalPlus, Las Vegas employers have the potential to lower medical costs by 16%1 - plus even more, depending on how the plan is designed and utilized.2

It all starts by building a local, high-performing network of doctors, specialists and hospitals right where employees live. Then, we customize a plan design – including other Cigna wellness and funding solutions – that can help your clients improve employee health and lower costs.

The LocalPlus plan comes with quality features employees value, too, including Away from Home Care3 for coverage at the in-network cost, while traveling, emergency coverage and more.

To learn more about how Local Plus - Las Vegas works and the value it can bring to your clients, view the flyer here.

1. Percentage of savings is estimated based on an internal Cigna study conducted in 2016 comparing Cigna's LocalPlus and LocalPlus IN plans to Cigna’s Open Access Plus (OAP) and Open Access Plus IN (OAPIN) plans in Las Vegas with the same benefit structure, deductibles, copay and out-of-pocket maximum limits. Savings are not guaranteed and will vary depending on plan design, geographic distribution and utilization patterns. Potential additional savings based on Medical Disease Management, benefit design and customer engagement.

2. 2015 Cigna Pricing/Underwriting National study. Savings based on increased employee deductible, coinsurance, and out-of-pocket (OOP) maximum amounts. Savings are not guaranteed and will vary depending on plan design, geographic distribution and utilization patterns. Medical cost savings do not directly translate to rate or premium rates. 

3. When receiving care in any LocalPlus Network service area, covered employees must use a doctor or facility in the LocalPlus Network to receive coverage at the in-network level – except in the case of emergencies. Outside of any LocalPlus Network service area, employees have in-network access through the Away From Home Care feature.

April 5, 2017
Cigna and HealthCare Partners Form Alliance

Today, Cigna and HealthCare Partners, a Davita Medical Group, announced a new alliance to offer employers in and around Los Angeles integrated health care options designed to improve access, quality and affordability while making the health care experience simpler. 

The alliance is a departure from traditional fee-for-service care in which providers receive a fee for each test or procedure performed. Instead, this arrangement rewards providers who help their patients achieve improved health at an affordable cost. The ultimate goal is to improve quality of care for individuals while sustaining affordability and value for both the employee and employer.

I welcome the opportunity to discuss how this exciting relationship will bring innovative solutions to employers here in Los Angeles and across the region. Over the next few weeks, I will be reaching out to you to schedule time to share more specific details about the Cigna and HealthCare Partners alliance.

Check out the announcement here.

Where We Are and Whom to Contact

Smaller Business
51-499 employees*

26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400

Medical

Barry Carvalho
949.255.1471
Barry.Carvalho@Cigna.com

CGI

Northern Nevada
Justin France
Regional Market Manager
415.377.3159
Justin.France@Cigna.com

Southern Nevada
Paul Storto
Regional Market Manager
480.881.6414
Paul.Storto@Cigna.com

Medium Business
500 - 4,999 employees**

26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400

Medical

Steve Schwerdtfeger
760.809.7404
Stephen.Schwerdtfeger@Cigna.com

 

CGI

Northern Nevada
Justin France
Regional Market Manager
415.377.3159
Justin.France@Cigna.com

Southern Nevada
Paul Storto
Asst. Regional Market Manager
480.881.6414
Paul.Storto@Cigna.com

Large Employers
5,000 or more employees

26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400

Medical

James Parr
Vice President, National Sales
415.374.2607
James.Parr@Cigna.com

CGI

Mike Banks
Vice President, National Sales
310.750.5088
Michael.Banks@Cigna.com

 

Global Health Benefits

8505 East Orchard Road, 5T1
Greenwood Village, CO 80111

Jeff Pezza
303-566-4634
Jeffrey.Pezza@Cigna.com

Individual Private Medical Insurance

Western United States
James Elbaum
480.622.8625
James.Elbaum@Cigna.com

*In most states, Cigna offers group insurance coverage to employers with 51 or more full-time employees, as well as administrative services for self-funded plan with as few as 25 full-time employees. For more information about your state, contact your Cigna sales representative.

** Medium Business employers have 501 - 4,999 employees or may have more than 5,000 employees and are located in a single state.

Smaller Business
51-499 employees*

Orange, San Diego, Imperial, Riverside and San Bernardino Counties:
26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400

Los Angeles, Ventura, Santa Barbara, San Luis Obispo and Kern Counties:
400 North Brand Boulevard, Suite 300
Glendale, CA 91203
Telephone: 818.500.6262

Medical

Barry Carvalho
949.255.1471
Barry.Carvalho@Cigna.com

CGI

Jake Wills
Regional Vice President
818.522.3649
Jake.Wills@Cigna.com

Medium Business
500 - 4,999 employees**

Orange, San Bernardino and Riverside Counties:
26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400
Fax: 949.255.1483

Los Angeles, Kern, Ventura, Santa Barbara and San Luis Obispo Counties:
400 N. Brand Boulevard, Suite 300
Glendale, CA 91203
Telephone: 818.500.6262
Fax: 818.546.5389

San Diego and Imperial Counties:
3636 Nobel Drive, Suite 150
San Diego, CA 92122
Telephone: 858.625.5600
Fax: 858.625.5799

Medical

Los Angeles, Ventura, Santa Barbara, Kern, San Luis Obispo Counties:
Sonia Ledesma
818.500.6762
Sonia.Ledesma@Cigna.com

Orange, San Diego, Imperial, Riverside and San Bernardino Counties:
Steve Schwerdtfeger
858.625.5617
Stephen.Schwerdtfeger@Cigna.com

CGI

Jake Wills
Regional Vice President
818.522.3649
Jake.Wills@Cigna.com

Large Employers
5,000 or more employees

Orange, San Bernardino and Riverside Counties:
26 Executive Park, Suite 200
Irvine, CA 92614
Telephone: 949.255.1400
Fax: 949.255.1483

Los Angeles, Kern, Ventura, Santa Barbara and San Luis Obispo Counties:
400 N. Brand Boulevard, Suite 300
Glendale, CA 91203
Telephone: 818.500.6262
Fax: 818.546.5389

San Diego and Imperial Counties:
3636 Nobel Drive, Suite 150
San Diego, CA 92122
Telephone: 858.625.5600
Fax: 858.625.5799

Medical

James Parr
Vice President, National Sales
415.374.2607
James.Parr@Cigna.com

CGI

Mike Banks
Vice President, National Sales
310.750.5088
Michael.Banks@Cigna.com

Global Health Benefits

Megan Storey
Senior New Business Manager
949.255.1406
Megan.Storey@Cigna.com

 

Individual Private Medical Insurance

Western United States:
James Elbaum
480.622.8625
James.Elbaum@Cigna.com

*In most states, Cigna offers group insurance coverage to employers with 51 or more full-time employees, as well as administrative services for self-funded plan with as few as 25 full-time employees. For more information about your state, contact your Cigna sales representative.

** Medium Business employers have 501 - 4,999 employees or may have more than 5,000 employees and are located in a single state.