Established in 1972, Saunders Construction is one of the largest general contractors in Colorado. Internal surveys showed that only 19 percent of its more than 400 workers were completing annual performance reviews with their supervisors, despite them being mandatory.

Cignas talent development team estimates that less than half of physician-leaders worldwide perform well in their roles, and believes that a lack of leadership development programs for clinicians may be contributing to the problem.As a result, Cignas corporate university set itself apart in 2013 by launching the Physician Leadership Development Program (PLDP). PLDP aimed to help a select group of doctors evolve into leaders by developing their business acumen and interpersonal, leadership, and networking skills.