The California Department of Managed Health Care (DMHC) approved Cigna’s acquisition of Express Scripts. “The conditions imposed on Cigna and Express Scripts will improve plan performance, increase access to health care services, and assist in controlling health care costs,” said DMHC director Shelley Rouillard. Cigna and Express Scripts have agreed to not increase premiums as a result of acquisition costs and to keep premium rate increases to a minimum. Both entities have agreed to invest $60 million in California’s health care delivery system, including the following:
- $35 million for Cigna’s Collaborative Accountable Care and Delivery System Alliances initiatives, which aim to improve health care quality, patient experience, and affordability.
- $10 million to fund scholarships and loan repayment programs under the Health Professions Education Foundation to increase the number of health care providers in underserved communities.
- $7.5 million to support California programs that address social determinants of health.
- $5 million to support California’s health care infrastructure and employment, including building and improving facilities in the state and expanding employment opportunities.
- $2.5 million to implement and maintain programs and policies that address the opioid crisis.
Cigna and Express Scripts will also support efforts to provide accurate, complete, and accessible provider directories, and standardize and improve the quality of encounter data, which is essential for measuring quality of care and cost.
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