The recent sale of Cigna Group’s Medicare health benefits businesses and a medical care provider services operation to Health Care Service Corp., the parent company of Blue Cross and Blue Shield health insurance plans, marks a significant shift in the healthcare industry landscape. This $3.3 billion deal, finalized after being announced last year, includes the transfer of Cigna’s Medicare Advantage plans, supplemental benefits, Medicare Part D drug benefits, and CareAllies business to Health Care Service Corp.
Health Care Service Corp., headquartered in Chicago, operates Blue Cross and Blue Shield health insurance plans in Illinois, Texas, Oklahoma, and New Mexico, serving over 26 million individuals nationwide. With a focus on expanding its Medicare Advantage product offerings, Health Care Service Corp. aims to capitalize on the growing popularity of Medicare Advantage plans among seniors, which now account for more than half of America’s senior population aged 65 and above.
While Health Care Service Corp. and Cigna are not as prominent in the Medicare health insurance market as industry giants like UnitedHealth Group, CVS Health’s Aetna, and Humana, this acquisition will bolster Health Care Service Corp.’s presence in the Medicare Advantage space. The move comes at a time when some competitors are scaling back their Medicare Advantage operations.
Cigna’s decision to divest its Medicare business aligns with its strategic focus and business objectives. The company reported a slight decline in Medicare Advantage enrollees in 2023, with around 589,000 members, and 2.5 million individuals enrolled in its Medicare Part D drug plans. By offloading its Medicare operations to Health Care Service Corp., Cigna can streamline its business and concentrate on other core areas, such as pharmacy benefit services through its Evernorth Health Services division.
Health Care Service Corp.’s CEO, Maurice Smith, expressed enthusiasm about the acquisition, emphasizing the company’s commitment to expanding access to quality healthcare and improving the well-being of older Americans. With a combined membership base of 26.5 million individuals, including 4.3 million Medicare beneficiaries, Health Care Service Corp. is poised to play a more significant role in the Medicare Advantage market.
Overall, this transaction underscores the evolving dynamics of the healthcare industry and the strategic maneuvers undertaken by key players to adapt to changing market conditions. As the healthcare landscape continues to evolve, companies like Health Care Service Corp. and Cigna are positioning themselves to meet the evolving needs of seniors and provide comprehensive healthcare solutions for a growing population of Medicare beneficiaries.