McKinsey January 23, 2026
Brian Evanko, Celia Huber

Brian Evanko discusses the need to switch the US healthcare system’s primary focus from treating illnesses and diseases after they occur to preventing them in the first place.

The US healthcare system is facing complex challenges to affordability and access. In this episode of the McKinsey on Healthcare podcast, McKinsey Senior Partner Celia Huber is joined by Brian Evanko, president and COO of The Cigna Group. As COO, Evanko oversees all of the company’s businesses within its two growth platforms: Cigna Healthcare (for health benefits) and Evernorth (for health services).

In his 27 years with the company, Evanko has seen significant change in the healthcare landscape, including growth in targeted medications for rare diseases, the introduction of the Affordable Care...

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