Cigna CEO Sees Amazon as a Potential Future Partner

The transcript discusses a $54 billion deal involving Cigna and Express Scripts, highlighting its potential to enhance consumer services and strategic growth. It covers Cigna's growth strategies, market positioning, and open architecture approach, emphasizing partnerships over owning physical assets. The regulatory environment's impact is also discussed, along with the company's long-term value creation and past deal experiences.

What is the primary reason for merging Cigna and Express Scripts?

• To focus solely on health insurers

• To broaden health services and improve affordability

• To increase pharmaceutical prices

• To reduce the number of employees

What percentage of the overall cost footprint do pharmaceutical services make up?

• 75%

• 50%

• 25%

• 10%

How much total shareholder return has Cigna delivered over the last nine years?

• 475%

• 200%

• 300%

• 600%

What is the expected EPS growth rate over the next three years?

• 5%

• 15%

• 10%

• 20%

What is Cigna's approach to competing with new entrants like Amazon?

• Reducing service offerings

• Acquiring more companies

• Focusing on partnerships

• Building moats

What is Cigna's strategy for delivering care?

• Owning all delivery system assets

• Partnering with delivery system providers

• Focusing only on digital care

• Reducing partnerships

Why did Cigna choose not to own physical assets?

• To increase physical presence

• To avoid regulatory scrutiny

• To focus on a consumer-centric model

• To reduce costs

How does Cigna view the regulatory environment?

• As a reason to exit certain markets

• As an opportunity for transparency and alignment

• As irrelevant to their operations

• As a barrier to growth

What was a key factor in the approval of the Cigna and Express Scripts merger?

• Previous failed mergers

• High pharmaceutical costs

• Consumer-friendly and value-creating nature

• Lack of competition

What was the outcome of the previous Anthem and Cigna deal?

• It was merged with another deal

• It was completed successfully

• It was blocked by the federal government

• It was abandoned by Cigna