Competitive Intelligence

Evernorth: Services Capabilities for HCP, 2026

This Evernorth Competitive Intelligence Profile is for health system C-suites and sourcing leaders evaluating pharmacy-anchored services partners moving into care delivery across the quadruple aim of care.

Positioning chart titled HFS Horizons: HCP Service Providers, 2026, organized as three stacked horizontal bands. The left vertical axis, Innovation Scope, rises from Functional at the bottom, to Enterprise in the middle, to Network at the top. The right vertical axis, Value Aspiration, rises from Cost plus Experience at the bottom, to Experience plus Health in the middle, to Health plus Equity at the top. The bottom band is Horizon 1, Disruptors, aligned to the Functional and Cost plus Experience level. The middle band is Horizon 2, Enterprise Innovators, aligned to the Enterprise and Experience plus Health level. The top band is Horizon 3, Market Leaders, aligned to the Network and Health plus Equity level. Evernorth is placed in the top band as a Horizon 3 Market Leader. The Horizon 3 Market Leaders cohort also includes Accenture, Cognizant, Deloitte, Epic, EY, HCLTech, Hitachi Digital Services, KPMG, Kyndryl, Optum, Sagility, and Tata Consultancy Services. The Horizon 2 Enterprise Innovators include Atos, Capgemini, Carelon, CitiusTech, Ensemble Health Partners, EXL, Firstsource, Genpact, Guidehouse, IBM, Innova Solutions, Inovalon, MEDITECH, NTT DATA, Omega Healthcare, Oracle Cerner, Publicis Sapient, PwC, R1, SoftServe, Sutherland, UST, Virtusa, and Wipro. The Horizon 1 Disruptors include AKKODiS, Coforge, DXC Technology, Emids, EPAM, Hexaware, HTC Global Services, LTM, Persistent, Smarter Technologies, Sonata, and Tech Mahindra. All providers within a Horizon are listed alphabetically and are not ranked against each other. The study assessed 50 healthcare providers in total. Source: HFS Research, 2026.

Note: All service providers within a Horizon are listed alphabetically
Source: HFS Research, 2026

Key facts about Evernorth’s HCP services capabilities

Panel layout titled Key facts about Evernorth's HCP services capabilities, divided into five boxes plus a gauge. Relevant M&A and partnerships box lists recent acquisitions: Shields Health Solutions (2025), a specialty pharmacy management platform; and CarepathRx Health System Solutions (2022 to 2025), for hospital pharmacy and infusion management. Listed partnerships are Kaiser Permanente and the Vaccination Credential Initiative. Key clients box: number of clients 1,400 plus, with named key clients Memorial Hermann, Banner Health, Honor Health, Phoenix Children's Hospital, Nemours Children's Health, MyMichigan Health, Columbus Regional Health, Lakeland Regional Health, and SolutionHealth. Global operations and resources box: headcount not disclosed, with delivery and innovation locations including the St. Louis Tech and Innovation Center campus in the US, plus hubs in Bluffton, South Carolina; Sunrise, Florida; Memphis, Tennessee; Phoenix, Arizona; the Hyderabad Innovation Hub; Bangalore; and Manila and Quezon City in the Philippines. Flagship internal IP box lists Express Scripts, the largest US pharmacy benefit manager by volume and a pharmacy analytics and adherence platform; Accredo, a specialty pharmacy leader for complex therapies; EviCore, a medical benefits management platform managing 100 million plus lives across radiology, oncology, musculoskeletal, and cardiology; MDLIVE, a virtual care telehealth platform; and the Evernorth Behavioral Care Group, a virtual and in-person behavioral provider network scaling to 15,000 providers across all 50 states by the end of 2026. A sustainability meter is shown as a semicircular gauge marked Low, Medium, and High, with the needle pointing into the upper range toward the High end. Source: HFS Research, 2026.

Source: HFS Research, 2026

Evernorth’s performance in the study and HFS’ views of its strengths and development opportunities for HCP services capabilities

Slide titled Evernorth's performance in the study and HFS' views of its strengths and development opportunities for HCP services capabilities. On the left, a three-step Horizon ladder graphic highlights Horizon 3 Market Leader at the top, where Evernorth sits, above Horizon 2 Enterprise Innovator and Horizon 1 Disruptor. On the right, two lists. The Strengths list covers six areas: value proposition, a healthcare services platform anchored in pharmacy benefit management and enabled by medical benefits management, primary care, and behavioral care; capabilities across some of the provider value chain, including patient consultation, patient services, and pharmacy-billed care; go-to-market that engages US healthcare providers through specialty pharmacy partnerships, a behavioral provider network, pharmacy-benefit touchpoints via Express Scripts, and utilization management capabilities; outcomes including adherence programs that lift medication compliance to improve health outcomes and reduce medical costs, Accredo specialty pharmacy that improves the patient experience for complex therapies, and the Behavioral Care Group that scales mental health and substance use access for underserved populations; innovation, where Evernorth innovates in-house across platforms but primarily acquires innovation; and customer perception, trusted as the largest US-based PBM operator and valued for specialty pharmacy depth and medical benefits management scale. The Development opportunities list covers five areas: go-to-market, where a stronger direct enterprise sales motion to health system C-suites for each primary project would help it avoid being seen as an adjunct of a payer; outcomes, where publishing provider-attributable outcomes with named clients across the full portfolio would strengthen alignment with the quadruple aim; innovation, where articulating a unified care delivery innovation thesis that bridges the mature pharmacy-side engine with rapidly scaling care delivery operations would consolidate value creation; customer, where building perception as a coherent, integrated provider-services partner and easing the perception of being tied to the Cigna payer relationship would help; and partner, where becoming a unified Evernorth platform partner and co-innovation peer, rather than a fragmented set of business-unit-level distribution channels, and investing in a meaningful partner ecosystem of technology, services, and domain specialists, is the opportunity. Source: HFS Research, 2026.

Source: HFS Research, 2026

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