Medical, pharmacy costs down $3K with behavioral health visits, Evernorth study finds

Research from Cigna subsidiary Evernorth found that patients who received outpatient behavioral care had fewer hospitalizations and emergency room visits, resulting in up to $3,109 in individual savings over two years. 

Advertisement

The study, which was released Nov. 16, found three to 14 visits a year could result in between $755 and $1,377 in annual savings. 

For plan sponsors, members utilizing at least three behavioral health visits a year results in a positive return on investment, according to a Nov. 16 news release

“The findings are ground-breaking and demonstrate there is immense opportunity to help people throughout a lifelong mental health journey,” said Eva Borden, president of Evernorth Behavioral Health. “Behavioral outpatient care is a vital tool that helps a person explore symptoms that may lead to mental health distress, so they can enact new thought patterns and learn coping skills. These critical skills can help people feel better — and reduce avoidable medical services over time.”

Advertisement

Next Up in Financial Management

  • Healthcare leaders are often expected to compartmentalize emotion to make difficult decisions, drive results, and maintain operational focus. For many years, I led…

  • Chicago-based CommonSpirit recorded an operating income of $2 million (0% operating margin) in the second quarter of fiscal 2026, down…

  • Amy Assenmacher, RN, senior vice president of revenue cycle at Grand Rapids, Mich.-based Corewell Health, is confident that healthcare is…

Advertisement

Comments are closed.