CIGNA headquarters

In late 2020, Dr. Debby Day said her bosses at Cigna gave her a stark warning: Work faster, or the company might fire her.

That was a problem for Day because she felt her work was too important to be rushed. She was a medical director for the health insurer, a physician with sweeping power to approve or reject requests to pay for critical care like life-saving drugs or complex surgeries.

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