Cigna Group plans to limit out-of-pocket medication expenses for US patients, in response to increasing scrutiny of pharmacy benefit managers (PBMs) in prescription drug pricing.
The changes aim to ensure patients benefit directly from negotiated discounts and rebates, preventing them from paying the full list price for medications.
Cigna's initiative also protects patients with high out-of-pocket costs by ensuring they don't pay more for their medication than their employer contributes, directing rebate dollars more directly to patient cost-sharing.
While these changes are seen as positive, they may not significantly impact the overall market. Stuart Piltch, a healthcare and insurance expert, emphasizes the need for a more comprehensive approach to address high drug costs.