Cigna

Cigna—one of the nation’s largest health insurers—has multiple reasons to celebrate after 2018. The Bloomfield, Conn.-based payer netted $48 billion in adjusted revenue in 2018, a 15% increase over the previous year. In the wake of a failed merger with competitor Anthem, Cigna was finally able to close a deal with the acquisition of pharmacy benefit manager Express Scripts, bringing along 164 million customers into its portfolio as a result. The insurer expects adjusted revenues to skyrocket to $131 billion-$133 billion in 2019, based on customer growth. But Wall Street will be watching how federal policies surrounding PBMs and drug prices may affect Cigna’s business.