Cigna pitches five-year plan with fee cuts, pharmacy pass-through and behavioral-health capitation to Hillsborough County evaluators

Cigna representatives presented their proposal for Hillsborough County’s self-funded group health plan (RFP 24-2491) to the county’s evaluation committee in a virtual procurement meeting, outlining a five‑year pricing structure, pharmacy pricing changes and expanded behavioral‑health services.

The proposal, delivered by Christine Castellvi, Market President for Cigna Healthcare, and members of her team, emphasized cost containment and expanded services. “You’ve been a client of ours since 2014,” Castellvi said, describing a long relationship the company said informed its offer and investments for the next contract period.

Cigna’s written and oral highlights included a 3% reduction in fees compared with current charges, with those fees held flat for five years; a pharmacy pricing model described as a transparent pass‑through called ClearChoice Rx; and performance guarantees with more than 70% of ASOPs (administrative/service operational performance standards) placed at risk with financial consequences for nonperformance.

Ben Heugel, National Account Executive for Cigna, summarized the pricing change: “Our fees were positioned 3% lower than they are currently,” and said the reduction would be maintained for five years. Bart Berg, the presenter on pharmacy, described the pass‑through approach and administration fee: “The admin fee is a low $3.95 per prescription,” and Cigna said it would pass through 100% of manufacturer rebates rather than…