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Cigna To Exit Obamacare In 2027, Affecting Coverage For 369,000

The insurer is leaving a market where 369,000 people will need new coverage as it shifts toward pharmacy services and employer plans.

  • On Thursday, The Cigna Group announced it will exit Affordable Care Act exchanges by the end of this year and initiate a strategic review of its eviCore business to focus on core growth platforms.
  • COO Brian Evanko stated that ACA plans and eviCore fell short of expectations, driving Cigna to depart the exchanges for reasons similar to its Medicare exit last year.
  • ACA plans have become increasingly unaffordable after the Republican-led Congress allowed generous subsidies to expire at the end of last year; Cigna reported $1.7 billion in first-quarter 2026 profit.
  • The exit leaves 369,000 Americans searching for new coverage in 11 states, continuing a trend after CVS Health's Aetna departed the exchanges following 2025.
  • CEO David Cordani will transition to Executive Chair in July 2026, with Brian Ivanko succeeding him as CEO to sharpen focus on pharmacy services and employer-sponsored plans covering 18 million members.
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healthcaredive.com broke the news on Thursday, April 30, 2026.
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