June 12, 2025

Evernorth® Behavioral Health (Evernorth) uses the MCG™ Behavioral Health Guidelines for guidance in conducting mental health level of care medical necessity reviews for all health […]

June 12, 2025

We want you to have the latest information about our quality initiatives, case management programs, and health and wellness programs, as well as medical and […]

June 11, 2025

Coordination of care is the process by which a patient’s team of providers cooperatively help coordinate care management and ensure access to quality, cost-effective care. […]

June 5, 2025

Primary care providers (PCPs) play an increasingly important role in the behavioral health diagnosis and treatment of patients. Incorporating behavioral health interventions into primary care […]

June 4, 2025

In June 2025, Cigna Healthcare® and Geisinger Health Plan (based in Danville, Pennsylvania) will enter into a collaboration under which Geisinger Health Plan members will […]

May 30, 2025

Cigna Healthcare continuously evaluates codes based on their usage, the latest evidence-based standards of care, and feedback from our stakeholders. To help reduce the paperwork and […]

May 20, 2025

Cigna Pathwell Specialty® is for patients using a specialty medication to treat a complex medical condition. As part of this in-network-only benefit plan option, certain […]

May 19, 2025

In today’s complex health care environment, effective care coordination is more important than ever. Primary care providers are uniquely positioned to lead care coordination, acting […]

May 16, 2025

The Healthcare Effectiveness Data and Information Set (HEDIS®)1 is one of health care’s most widely used performance improvement tools. More specifically, it is a core […]

May 9, 2025

On August 15, 2024, we began partnering with LexisNexis®1 Risk Solutions to help ensure we remain compliant with local and federal data validation mandates and […]

May 8, 2025

Annual wellness visits or Prospective Program health assessments are a great opportunity to update and reconcile your patients’ medical records. Consistent, complete, and accurate documentation, […]

May 7, 2025

To help support your care of patients with Cigna Healthcare® plans who have certain medical conditions, we offer holistic support through a comprehensive case management […]