Cigna/Evernorth serves 600,000 members while rebuilding MA scale after strategic portfolio adjustments in 2023-2024. Its Evernorth pharmacy arm provides integrated PBM capabilities that reduce drug costs by an average of $450 per member annually, a 10% savings over the typical plan. Compared to #7 BCBS Michigan, Cigna expands offerings to compete in select rural markets where its pharmacy network is 18% more accessible.

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