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CIGNA’S $3.3B MEDICARE BUSINESS SALE TO HCSC

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February 1, 2024

> Cigna’s strategic move to sell its Medicare business to Health Care Service
> Corp. for $3.3 billion marks a pivotal moment in healthcare dynamics. The
> comprehensive deal includes Medicare Advantage, supplemental benefits, and
> CareAllies, impacting both Cigna and HCSC. While Cigna’s decision aligns with
> a resource reallocation strategy, HCSC anticipates substantial growth in its
> Medicare Advantage membership. The deal, set to close in Q1 2025, reflects the
> evolving landscape of healthcare services.

In a transformative maneuver, Cigna Group announces the $3.3 billion sale of its
Medicare business to Health Care Service Corp. This strategic decision
encompasses various Medicare components, indicating a shift in Cigna’s resource
allocation strategy. HCSC, with its Blue Cross Blue Shield affiliates, stands to
significantly expand its Medicare Advantage membership. The move follows
speculations of a potential Cigna-Humana merger, highlighting the dynamic nature
of the healthcare industry. As the deal progresses toward closure in early 2025,
its implications reverberate across the healthcare landscape.

The comprehensive sale encompasses various facets of Cigna’s Medicare offerings,
including Medicare Advantage, supplemental benefits, Medicare Part D, and even
CareAllies – a subsidiary specializing in value-based care management. As per
reports from The Wall Street Journal, the financial intricacies of the deal will
not only secure $3.3 billion for Cigna but also release an additional $400
million from financial reserves, elevating the overall value of the transaction
to $3.7 billion.

One of the most noteworthy aspects of this deal is the significant impact it is
expected to have on HCSC’s Medicare Advantage membership. Data from Baltimore
Health Analytics reveals that the acquisition will nearly quadruple HCSC’s
Medicare Advantage membership. Currently operating Blue Cross Blue Shield
affiliates in multiple states, including Illinois, Texas, New Mexico, Oklahoma,
and Montana, HCSC had 217,623 Medicare Advantage members in January 2024. This
acquisition will undoubtedly position HCSC as a formidable player in the
Medicare space.

Cigna, on the other hand, has 596,977 Medicare Advantage members, a relatively
modest proportion considering its extensive membership base of 19 million
insurance members. The company’s Medicare portfolio also includes 450,000
Medicare supplement members and 2.5 million members in Part D plans. In light of
these figures, Cigna’s decision to divest its Medicare business aligns with a
strategic reallocation of resources.

David Cordani, CEO of Cigna Group, emphasized in the news release that while the
leadership recognizes the inherent attractiveness of the Medicare segment in the
healthcare market, the Medicare business, about its size within the company,
demanded disproportionate resources. Cordani stated, “We continue to see
significant, meaningful growth opportunities for government services, including
Medicare, in our Evernorth Health Services portfolio of businesses.”

As part of the deal, Evernorth, an integral part of Cigna’s portfolio, will
continue to provide pharmacy benefit services to the Medicare business for four
years post-closing. This strategic move underscores Cigna’s commitment to
capitalizing on growth opportunities in government services while ensuring a
seamless transition for its Medicare members.

The decision by Cigna to sell its Medicare business did not materialize
overnight. Speculations first emerged in November, with industry analysts
suggesting that such a move could potentially pave the way for a merger between
Cigna and the Medicare giant, Humana. Although the rumored merger with Humana
did not materialize, reports from The Wall Street Journal in January indicated
that Cigna was engaged in exclusive talks with HCSC regarding the sale of its
Medicare business.

Maurice Smith, CEO of HCSC, expressed optimism about the acquisition, stating
that it would not only expand the company’s product offerings but also enhance
its geographic reach. Smith emphasized the value of the proven community-first
member and provider engagement model that HCSC employs, highlighting the
importance of local relationships in delivering healthcare services.

Cigna’s exit from the Medicare business signifies a strategic pivot, freeing up
resources and paving the way for growth in other sectors. The $3.3 billion deal
with HCSC holds implications for both companies, influencing their positions in
the evolving healthcare market. As Cigna focuses on government services within
its Evernorth Health Services portfolio, HCSC anticipates product expansion and
enhanced geographic reach. The healthcare landscape is set to witness
significant changes as this transformative deal unfolds, impacting stakeholders
and reshaping industry dynamics.




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