Archive

2025 Clinical, reimbursement, and administrative policy updates

December 13, 2024

To support access to quality, cost-effective care for your patients with a medical plan administered by Cigna Healthcare, we routinely review clinical, reimbursement, and administrative […]

California HMO provider appointment access and availability

December 11, 2024

When patients receive the right care at the right time, it can result in better health outcomes and an improved care experience. The State of […]

Changes for Part D Measures to 2025 Measurement Year for the 2027 Star Ratings

December 11, 2024

The Centers for Medicare and Medicaid Services (CMS) finalized the addition of two new Part D measures for the 2025 measurement year. Both were developed […]

Update to prior authorization requirements for partial hospitalization level of care effective January 1, 2025

December 10, 2024

Evernorth® Behavioral Health (Evernorth) is committed to helping health care providers deliver timely care to patients by reducing the administrative burden. Therefore, effective January 1, […]

Policy and coverage updates

December 9, 2024

Cigna Healthcare coverage policies can help you to interpret standard health coverage plan provisions. Access the latest updates. 

NALC Health Benefit Plan AMIs to change in January

December 8, 2024

Effective January 1, 2025, the alternate member identifiers (AMIs) for your patients with health care coverage under the National Association of Letter Carriers Health Benefit […]

New guest access to HealthPartners provider portal

December 6, 2024

HealthPartners, a Cigna HealthcareSM strategic partner, has implemented a simplified way for providers to verify customer eligibility on their portal without registering for an account. […]

Follow-Up Care for Children Prescribed ADHD Medication HEDIS measure (ADD)

December 4, 2024

Attention deficit hyperactivity disorder (ADHD) is one of the most common behavioral health disorders affecting children. The main features include hyperactivity, impulsiveness, and an inability […]

Continuity and coordination of behavioral and medical care

December 4, 2024

As part of our continuity and coordination of care efforts, Evernorth® Behavioral Health monitors the exchange of information between behavioral and medical providers. Annually, we […]

2025 Cigna Healthcare Medicare Advantage Provider Manual now available

December 3, 2024

The Cigna HealthcareSM Medicare Advantage Provider Manual for in-network physicians, hospitals, ancillaries, and other providers has been updated for 2025. The manual includes key regulatory […]

Primary care providers: The importance of managing your practice panel

December 3, 2024

As valued partners in delivering high-quality care, it is important that Cigna HealthcareSM–contracted primary care providers (PCPs) maintain manageable practice panel volumes to ensure patients […]

Oncology drug dose rounding pilot begins January 1, 2025

December 2, 2024

On January 1, 2025, Cigna HealthcareSM will begin an oncology drug dose rounding pilot program to reduce drug waste for a variety of injectable oncology […]

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