Tag: Cigna
HCSC buys Cigna’s MA business
February 5, 2024HME News Staff
CHICAGO – HCSC has signed a definitive agreement with the Cigna Group to buy its Medicare Advantage, Medicare Supplemental Benefits, Medicare Part D and CareAllies businesses for $3.3 billion.
HCSC, an independent licensee of the Blue Cross Blue Shield Association, bills itself as the largest customer-owned health insurer, serving more than 22 million people across the United States.
“The acquisition will bring many opportunities to HCSC and its members — including...
In brief: Belluscura makes moves, Numotion launches SpinKids, Cigna pays up
October 6, 2023HME News Staff
LONDON and PLANO, Texas – Belluscura has announced a possible acquisition and has made a change to its executive leadership.
Belluscura has reached an agreement with TMT Acquisitions, a London-based acquisition vehicle in the technology, media and telecommunications sector, on the key terms of a possible share-for-share offer for the company, in a deal that would be valued at EUR 6 million. Belluscura will use the deal, which includes a $100,000 break-up fee, to help grow its portable...
Cigna pays $172M to resolve FCA allegations
October 4, 2023HME News Staff
PHILADELPHIA – Cigna has agreed to pay $172 million to resolve allegations that it violated the civil False Claims Act by submitting and failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees to increase its payments from Medicare.
Cigna will pay about $135 million to resolve the allegations, with the remaining $37 million resolving allegations related to unsupported diagnoses for MA beneficiaries arising from Cigna’s home visit...
Cigna updates prior auths list
September 7, 2023HME News Staff
BLOOMFIELD, Conn. – Cigna has removed prior authorization requirements for nearly 25% of medical services. With the removal of these 600-plus codes, the insurer has now removed prior authorization requirements on more than 1,100 medical services since 2020. "Our goal is to help keep patients safe, improve health outcomes, and make care more affordable, and this important step will enable us to do that while removing administrative burdens on the health care system," said David Brailer, MD,...
Pharmacy organizations criticize Tricare decision
December 7, 2022HME News Staff
ALEXANDRIA, Va. – A group of pharmacy organizations, including the National Community Pharmacists Association and the National Home Infusion Association, worry that decisions by Cigna and Express Scripts to eliminate the option for Tricare beneficiaries to obtain prescriptions at their pharmacy of choice will disrupt patient access to needed medications.
In a letter to Amy Bricker, president of Express Scripts, and David Cordani, president and CEO of Cigna, the organizations argued...
Better Health joins Cigna network
November 16, 2022HME News Staff
SAN FRANCISCO – Better Health, a national chronic condition support and medical supply provider, is now in-network for Medicare Advantage customers of Cigna. "We are thrilled that Better Health is now available as an in-network provider for Cigna’s Medicare Advantage members,” said Naama Stauber Breckler, Better Health co-founder and CEO. “Identifying the unique needs of people with chronic conditions who are dependent on medical supplies, we modernized the entire process...
In brief: AAH pulls out all the stops; Cigna, Express Scripts plan merger
March 9, 2018HME News Staff
WASHINGTON - With it “increasingly possible” that a competitive bidding-related interim final rule may never be finalized by the Office of Management and Budget, AAHomecare is stepping on the gas on H.R. 4229.“While this realization is a difficult pill to swallow, it also underscores the importance of our legislative efforts,” wrote Tom Ryan, CEO and president of AAHomecare, in the association's weekly bulletin to members on Wednesday.Those legislative efforts got a boost...
Cigna, Express Scripts plan merger
March 9, 2018HME News Staff
BLOOMFIELD, Conn. - Health insurance giant Cigna Corporation plans to acquire Express Scripts for $67 billion, it announced Thursday.Express Scripts is the largest pharmacy benefits manager in the United States, covering more than 80 million lives, according to news reports.“Cigna's acquisition of Express Scripts brings together two complementary customer-centric services companies, well-positioned to drive greater quality and affordability for customers,” said David M. Cordani, president...
Lawsuit charges Cigna with applying excessive co-pays
October 11, 2017HME News Staff
BLOOMFIELD, Conn. - Cigna allegedly developed and directed a fraudulent billing scheme that required benefit managers like CareCentrix to charge patients excessive co-pays, co-insurance or deductible payments for home care, according to a lawsuit filed in federal court in Connecticut on Oct. 6. The lawsuit was filed by a plan participant who alleges he paid almost 350% more than he should have for a disposable filter to treat sleep apnea, Bloomberg reports. The participant bought the filter from...
Cigna stays with CareCentrix
February 16, 2016HME News Staff
HARTFORD, Conn. - CareCentrix and Cigna have extended their contract for two years. The contract gives Cigna's customers continued access to CareCentrix's core services, including home health/nursing care, DME and home infusion. It also gives them access to a testing and therapy adherence program for sleep-related disorders coordinated by Sleep Management Solutions, a CareCentrix company. CareCentrix has offered homecare and sleep services to millions of Cigna customers since 1996. It has a national...