Cigna Corporation (NYSE:CI) Q4 2022 Earnings Call Transcript

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So I’d ask you to think about, first and foremost, the relationship with Village that was built out and expanded is an Evernorth relationship. That’s not to take away from CHE, I’ll come to the core of your question in a moment. And that relationship, as I discussed with a previous question, is around helping to broaden and target the reach, broaden the reach and then target with precision around subspecialty and then coordinate services in an even more precise way off of their already highly performing value proposition. Now that will be benefited to Cigna Healthcare, but also other health lands and broadly speaking, Village’s patient panel over time. Now specific to Cigna Healthcare, this relationship presents the opportunity to design certain benefit alternatives or unique product alternatives in collaboration with Village because of our closer relationship.

That will evolve over time, and those conversations are manifesting themselves already. And the positive there is that that’s building off of an already positive relationship. So back to the main course here is an Evernorth’s relationship and further evolving their already strong performance in terms of reach, precision for the breadth of the panel. Cigna Healthcare will benefit from that. It presents the opportunity in targeted geographies and to bring specific benefit alternatives forward for the benefit of Cigna Healthcare and all that is on the docket relative to co-collaboration right now. That’s why we’re so excited about the partnership with Village.

Operator: Our next question comes from Mr. Stephen Baxter with Wells Fargo.

Unidentified Analyst: This is Nick on for Steve. I wanted to ask about the in-group trends you’re seeing in Commercial, given the number of different data points we’re getting on the labor market. I know the last time you guys spoke about it, you said that while you were starting to feel some of the headlines manifest employers were generally still in net hiring mode. I wanted to see if that was still the case and if there was anything to call out between select, middle market and national?

David Cordani : Good morning, Nick, it’s David. I’ll just give you a little directional indicator here. So throughout 2022, broadly speaking, we saw the kind of net effect of hiring still the lead dimension in terms of playing through. Although as we’ve talked quarter-to-quarter throughout the course of 2022, we recognized there was a softening in the economy. As we get through the latter part of the year and the end of the year, that pretty much muted down and approximates canceling itself off. So the net hiring versus the net disenrollment moved to a slight negative. As I mentioned in a prior comment, our projection for 2023 assumes a further uptick or a further softening of disenrollment as we look at the economy, we don’t — within our book as we go case by case and relationship by relationship, we don’t see large dislocations, but we think it’s prudent to plan for some further softening throughout the course of the year, and that’s fully factored in to our projection.

I wouldn’t call out one individual sub-segment. The National Press would say that small employers are continuing to hire in terms of fight to get to full levels of employment. So we can see some indicators relative to that. But broadly speaking, I would suggest you to think about — we believe we’ve taken a prudent outlook in our full year membership outlook by further dampening the additional enrollment throughout the course of the year, and we think that’s an appropriate approach.

Operator: Our next question comes from Mr. Steven Valiquette with Barclays.

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