
Cigna Builds the Neural Pathway for AI-Ready Future with Kong
Cigna unified its API strategy with Kong Konnect and GitOps.
latency for critical APIs
GitOps automation
developer self-service
custom plugins built

Cigna Group is a global health services organization that provides medical, pharmacy, behavioral, dental, and supplemental insurance solutions, serving over 190 million customer relationships across more than 30 countries and jurisdictions.
Rebuilding the digital backbone
When Cigna Group and Express Scripts merged, they created a new health technology powerhouse: Evernorth Health Services, a data-driven arm of Cigna designed to improve care delivery and connect patients, providers, and payers through smarter systems.
For Cigna’s technology leadership, that vision required rethinking the foundation of digital connectivity: APIs.
Across Cigna and Evernorth, thousands of APIs power everything from claims processing and prescription management to digital member services. But after years of acquisitions and cloud expansion, that API landscape had become chaotically fragmented.
“Applications that once ran on bare metal now live in containers,” shared Sakthi Gnanaprakasam, IT Principal Engineer at Cigna, at API Summit 2025. “We operate across multiple data centers and clouds — Azure, AWS, and on-prem.”
The company’s legacy API gateway was once a market leader, but it could no longer keep pace with modern architectures or security integrations. It struggled with third-party IAM (Identity and Access Management) tools like Okta, modern protocols like GraphQL and gRPC, and new security ecosystems like Salt and Noname Security.
“Our old gateway couldn’t keep up,” Gnanaprakasam said, “We had to evolve.”
“We needed an API gateway that could run anywhere, talk to everything, and scale instantly.”
From fragmented gateways to a unified strategy
Over time, each business unit had adopted its own API management tools, often tied to specific clouds. This caused multiple gateways, multiple vendors, and multiple layers of complexity.
Cigna’s API transformation team defined clear criteria for the next-generation gateway:
Lightweight architecture for rapid scaling
Platform-agnostic deployment across clouds and data centers
Support for next-gen APIs (GraphQL, WebSockets, gRPC)
Extensibility for healthcare-specific compliance and data privacy
Latency under 10 milliseconds to maintain strict SLAs
Built-in automation for zero-touch provisioning and deployment
“We weren’t just shopping for software,” Gnanaprakasam said. “We were looking for a long-term partner who could grow with us. Healthcare isn’t like banking or retail. We have unique compliance and security needs. We needed a gateway that could adapt to us, not the other way around.”
“We hated the idea of managing so many different vendors. If something broke, we had to go through multiple support teams. It was time to simplify and standardize.”
Choosing Kong for performance, partnership, and possibility
After a rigorous evaluation of the top five API gateway vendors, Cigna shortlisted three. Kong stood out for both its technology and its people.
“Kong is an amazing listener. They take feedback seriously. They address every suggestion, every criticism, and turn it into product improvements. Out of the 50 enhancement requests we submitted, Kong delivered more than 30 within two years. That’s a real partnership.”
Cigna began its modernization journey with Kong Enterprise, building a scalable architecture to support global applications across Cigna Healthcare and Evernorth.
Gateway of gateways
Initially, Cigna used a single-tier API gateway where all inbound traffic passed through one layer in the DMZ. But as the business scaled, this model became a bottleneck. Each new API required manual firewall requests, slowing onboarding and increasing risk.
The team introduced a “gateway-of-gateways” architecture, a two-hop pattern that separates external and internal traffic. External API flows now pass through a public Kong Gateway in the DMZ, which communicates securely via mutual TLS (mTLS) with an internal gateway.
“This design added an extra layer of protection. Even if the external gateway was compromised, no one can reach the internal systems directly. Only the internal Kong gateway can access upstream targets,” Gnanaprakasam said.
Fast, slow, and dedicated lanes
Cigna further optimized performance through a multi-lane model.
Fast lane for APIs handling small payloads (<5MB) and response times under 30 seconds.
Slow lane for be for batch or AI workloads, file transfers, and aggregations taking minutes.
Dedicated gateways for mission-critical APIs requiring custom policies or ultra-low latency (as little as 5–6ms).
“Each API runs in the lane it deserves,” Gnanaprakasam said. “That way, no heavy process can slow down a time-sensitive one.”
Security and extensibility
As Cigna continued to acquire healthcare businesses, it inherited dozens of legacy patterns. Standardizing security was essential.
The new design enforced mTLS and OIDC (OpenID Connect) for authentication, while supporting 20+ custom plugins built for healthcare-specific compliance. Gnanaprakasam said, “Extensibility was non-negotiable. We have use cases no other enterprise has.”
Observability was centralized with Kong’s HTTP Log and Prometheus plugins, sending telemetry to enterprise logging and APM systems.
“Now we can track latency, performance, and SLA breaches in real time and fix issues before customers even notice.”
Scaling further with Kong Konnect and GitOps
As adoption grew, so did the configuration size. The team consolidated environments using a non-production control plane and multiple data planes. But within two months, configuration files reached two gigabytes, resulting in sluggish deployments and sequential build bottlenecks.
“The control plane was constantly pushing out updates,” Sakthi said. “Hundreds of applications were deploying at once, but it had to happen sequentially. We needed a smarter way.”
The answer was Kong Konnect. Konnect provided centralized management, isolated control planes, and a single UI for visibility across all environments.
“Instead of managing separate control planes and logging into multiple dashboards, we can now see everything in one view,” Sakthi said.
With control plane groups, Cigna could group shared and dedicated gateways while maintaining isolation. Each environment received only the configurations it needed, reducing deployment times and eliminating the massive configuration push problem.
Cigna also expanded globally, launching new control planes in the Middle East to comply with data-localization laws.
“The local government required data to stay in the same region. Kong added Middle East support within weeks. That kind of responsiveness is rare.”
Automating everything with GitOps
Perhaps the most transformative shift came from embracing GitOps as the operational model.
“Nothing should be manual anymore,” Gnanaprakasam said. “Developers should have the freedom to innovate without waiting on infrastructure teams.”
Today, when a developer wants to onboard a new API, they submit a self-service request through a GitHub workflow. Within minutes, a new control plane and scaffolded GitHub repository are created automatically. Developers push their service definitions, which are validated through automated pipelines before deployment.
The process enforces policies, validates YAMLs, performs dry runs, and records every change in the audit log.
“If something goes wrong, rollback is instant,” Gnanaprakasam said. “GitHub is the source of truth. And with declarative configurations and pre-built service templates, onboarding is seamless.”
Unified, secure, and fully automated API management
Cigna’s migration to Kong Konnect has redefined how its teams deliver and manage APIs across multi-cloud environments.
Key outcomes include:
- A unified enterprise API fabric spanning AWS, Azure, and data centers
- Sub-10ms latency for mission-critical healthcare APIs
- 100% GitOps automation from onboarding to audit
- 24x7 developer self-service and instant provisioning
- 20+ custom healthcare plugins and enterprise observability
- Global compliance, including Middle East data residency
“Every API we deploy now is standardized, secure, and automated. Kong enables us to move fast without compromising on safety, and that’s critical in healthcare.”
For Cigna, modernization wasn’t just about technology. It was about empowering developers, building trust, and future-proofing healthcare innovation.
“With Kong Konnect and GitOps, we’ve turned API management into a product,” Gnanaprakasam said. "Developers can innovate freely, and we can govern responsibly. That’s the foundation for the next decade of digital health.”