Baylor Scott & White Health

Health plans partner with us because we have the scale, passion and commitment to help them grow in a rapidly changing and increasingly competitive environment. Our experts provide innovative, strategic solutions that align with your plan's unique priorities. We believe health is what makes progress possible. Let's embrace our relentless passion and define the future of health care – together.
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Amy Bricker
Amy Bricker
President, Express Scripts
Health care is more complicated, more fragmented and more costly than it needs to be. We're changing all of that. Being part of the solution to transform health care as we know it – is a vision we can all get behind. Working together, we can take on your toughest challenges, expose opportunities to reduce costs and increase profitability and help you prepare for what's next.

Diversity, equity and inclusion

Our diversity, equity and inclusion (DEI) strategy fosters a culture of belonging and equity that advances our mission to positively impact the well-being of our people and the communities we serve.
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79% of employees agree that there is great DEI at Cigna, outperforming other companies by more than 13%
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Committed to doubling diverse supplier spend to $1B by 2025
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Launched COVID-19 disparities project (Cigna S.A.F.E) to slow the spread in three target markets with large Black and Hispanic populations
Introducing Evernorth
Elevating health means reimagining how we partner. With open collaboration and unbiased guidance, we strive to deliver flexible, focused solutions under our new health services brand and portfolio.
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Health Care in Focus
COVID-19 has challenged our health care system like no other. But we're always looking ahead, identifying ways to redefine what's possible. We polled consumers and plan sponsors across the U.S. to assess the state of health care in the years ahead.
Explore the Health Care in Focus Report
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Evernorth insights: Health Care in Focus
The results are in
The changes we've all had to navigate and the way consumers have responded to health care in the wake of COVID-19 will shape the future and health landscape as we know it. Our research yielded insights that offer an opportunity for business leaders and health care decision markers to work together and elevate health for every member, for every plan, for all.
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Health care comes home
As COVID-19 has normalized virtual health and digital care solutions in an environment where advancements in technology and consumers' demand for digital both grow seemingly at the speed of light, how can health care decision makers and health plan leaders keep up in terms of offering members the tools they need to stay healthy, in a way that is safe and fits into their day-to-day routine?
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Solidifying the mind-body connection
COVID-19 has underscored the connection between physical, mental and social health. While many consumers are currently engaged in some form of wellness activities, the focus on their health has inspired many to take a more proactive approach to their whole well-being.
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The cost-care conundrum
Keeping health care costs down remains a constant priority for both consumers and decision makers. In fact, it's a dilemma that affects nearly every plan: How is it possible to do more with less, while still providing high quality, low cost, and high-touch care?
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Client story: Growing one plan's Medicare business
We offer the guidance and support needed to help our clients improve in quality outcomes and Star ratings.
Client story: A focus on being the best and getting better
Hear from one client about what they value in our partnership to help their plan improve.

Market analysis: Key insights and findings

We operate on a belief that insights can lead to better action, and our regulated markets strategists will equip you with market analyses for growth planning and insight-driven conversations focused on enrollment trends, Star Ratings trends, competitive market benefits and other aspects. These analyses can be done at the state level, service area level, or county level to meet your needs. An initial look generated some insights for conversation.
Diabetes
The bar continues to get higher when it comes to diabetes care management. Currently, Community Health Choice is scoring lower than our health plan book of business on HbA1c and eye exam metrics.
ADHD
Compared to our health plan book of business, Community Health Choice is scoring lower on follow-up care for children prescribed ADHD medication. Our clinical solutions could help improve critical metrics for this class.
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Immunizations
There has been an increased focus on immunizations recently due to the COVID-19 pandemic. Community Health Choice’s immunization rates for children and adolescents trails our health plan book of business average.
Leveraging strong regulated markets support and expertise
With extensive knowledge and experience, our team is equipped to help you take the very best care of our members. Our support model is tailored to your needs, and focused on alignment and collaboration.
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A mutual focus on growing your commercial business
Hear from Janae McAfee, Director of Pharmacy Sales at Highmark, about what she values about our partnership and commitment to grow and win together.

Powering your growth

Our market development team is committed to helping you arm your sales team with the pharmacy knowledge needed to fight the battle against carve out and convey the value of an integrated offering. Explore our latest reports.
Value of Integration
The Value of Integration
Employers are weighing their options for medical and pharmacy benefits as they try to reduce costs and improve care for their members. Some are carving out pharmacy benefits from medical benefits, assuming that it will provide more savings and flexibility. However, evidence clearly shows that an integrated medical and pharmacy benefit substantially reduces total cost of care and improves member health in comparison to a carve-out approach.
Explore the report
Building a Winning Pharmacy Go-To-Market Team
Building a Winning Pharmacy Go-To-Market Team
Whether you serve two million people or 20,000, staffing the pharmacy go-to-market team with true expertise to ensure pharmacy is part of the broader market message and unique value proposition is critical. You have a great story to tell, with evidence clearly showing an integrated medical and pharmacy benefit substantially reduces total cost of care and improves member health in comparison to a carve-out approach. It’s time to fully realize the potential of that story by dedicating focus to developing or refining your organization.
Explore the report

Achieving savings and growth through effective utilization management

eviCore healthcare currently provides utilization management for more than 100 health plans with over 100,000,000 members. When one client came to our team, experiencing financial and growth challenges, we were able to do a thorough analysis of the claims file, to identify significant savings opportunities made possible by initiating prior authorization programs supported by the industry's most comprehensive sets of evidence-based clinical criteria. eviCore healthcare took on risk and guaranteed savings as programs went live. Within one year, significant improvements were reported by the client.
Explore the case study
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$3.6 million savings in first year
Growing membership across multiple states and markets
Continued collaboration through quarterly performance meetings

Fragmented drug management strategies may be costing you

Medical drug spending is expected to increase by 33% by 2023. With specialty costs rising rapidly, you may be seeking new ways to manage spend and optimize administrative efficiencies. See how our approach to integrating medical drug management optimizes drug savings across pharmacy and medical benefits, enabling better efficiency, greater savings and improved safety.
20% 20%
of claims in the highest specialty spend categories are duplicating work within plans
50% 50%
higher specialty drug approvals vs. traditional approvals within the last 4 years1
$128B $128B
projected medical spend in 2023 – a 33% increase from $96B in 20182

Aligned with Community Health Choice, we'll deliver world-class health services with a singular focus: To make health care more affordable, predictable and simple

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Affordable
We build on our leading, differentiated position to lower the total cost of care
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Predictable
We take surprise out of the system and help people make informed health care choices
Simple
We make it easier for the people we serve to get the care they need
Thank you
If you have questions or need further information, I am here to help!
Email Scott Fitzgibbon
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References
1. Express Scripts book for business data
2. Research and statistics compiled from: American Hospital Association. “AHA Hospital Statistics. 2018 Edition.”; Thomson Reuters Hospital Research (Aug 2011); Analysis of American Hospital Association (AHA) Annual Survey Data, 2016, for community hospitals