Cigna
What Cigna is up to now
Put a real number behind the bet: $100M into Evernorth's Pharmacy Forward AI program (07-01), claiming $200M in customer savings over three years. The PXDX mass-denial algorithm that still defines its AI reputation generated no fresh 2026 developments; Evernorth Behavioral stayed dark — flagged thin, not assumed quiet.
as of 2026-07-28
Sphere us
Pocket
Health
Evernorth / Express-Scripts PBM giant; widest footprint. Strong behavioral-health arm; PXDX in payer-ai-claim-denial.
The metrics
- Posture med
- consolidating 2 src →
- Capital · available high
- ~$7.0B cash + ~$0.8B short-term inv (~$18.9B total investments) — LIGHTER reserves than peers after shedding MA insurance risk 1 src →
- Capital · operating high
- ~$274.9B FY25 revenue (~$277.9B TTM); operating cash flow ~$9.6B FY25 / ~$8.8B TTM 1 src →
- Capital · deployed high
- ~$1.2B capex + ~$3.6B buybacks committed FY25 — capital returned, not reinvested in insurance 1 src →
- Capital · in high
- inflows — ~$274.9B FY25: Evernorth/Express Scripts PBM services revenue now dominant + Cigna Healthcare premiums 1 src →
- Capital · out high
- outflows — medical + PBM drug costs dominate; then ~$3.6B buybacks + ~$1.6B dividends FY25 1 src →
- Optionality high
- mixed — MLR caps the shrinking Cigna Healthcare insurance core, but Evernorth/Express Scripts services is the free lever and ~$3.6B FY25 buybacks show freer capital than debt-laden CVS. 1 src →
- Gravity med
- GROSS ~$274.9B/yr routed — 185M+ customer relationships + ~1.7M-provider network via Evernorth/Express Scripts (the widest footprint of the payers). 2 src →
Projects & threads
·
AI Denial Machine
legitimacy dispute
— open · last seen 2026-07-28
· 2 entries
Vocabulary