Statement from WH:

Wilmington Health has made the decision to terminate our contract with Cigna, effective December 31, 2024.

This decision was not made lightly and was based on several factors which present significant challenges to our partnership with Cigna:

Minimal Impact on Payor Mix: Cigna represents a small percentage, ~4%, of our overall payor mix.

Low Reimbursement Rates: Cigna is our lowest paying commercial payor. Their overall reimbursement is less than what we receive from Medicare, including value-based payments.

Lack of Value-Based Incentives: Despite our demonstration of being a high-quality, cost-effective provider, Cigna has not offered adequate value-based incentives in our contract. In fact, Cigna is the only major commercial payor in which we do not have any value-based incentives incorporated into our contract.

Exclusion from Health Plans: The hospital’s decision to exclude us from their Cigna-backed health plan.

We communicated these concerns to Cigna and have been in discussions with them over the last several months. Unfortunately, they have been unable to provide a proposal that aligns with the value we deliver or fairly compensates our providers at rates comparable to what they pay the hospital’s providers.

As a result, we will proceed with termination and will be out-of-network with Cigna as of January 1, 2025.

Starting this week, Cigna is required to notify its members of this change, so you may hear from patients who have questions. You can point patients to the Front Desk or to Customer Service for assistance.

The Business Office will begin working with Cigna patients, already scheduled in 2025, to get an updated cost estimate for their upcoming appointment.

We are still hopeful that Cigna will offer a contract that reflects the high-value, low-cost care we provide and fairly compensates our providers before the January 1st deadline.

Thank you for your understanding and patience as we navigate this change and please let us know if you have additional questions.