Medicare

Providers contracted for commercial and IFP plans should continue using CignaforHCP.com

November 4, 2025

Earlier this year, Cigna Healthcare® Medicare Advantage introduced Availity EssentialsTM as its new provider portal; however, those contracted with Cigna Healthcare commercial and Individual & […] Read more >

2026 HealthSpring Medicare Advantage Drug List Formulary Updates

October 27, 2025

Effective January 1, 2026, we’re updating the HealthSpringSM Medicare Advantage Prescription Drug (MAPD) formularies. Cigna Healthcare® Medicare Advantage is becoming HealthSpring. To support seamless treatment […] Read more >

Change in prior authorization administration for post acute care services, effective January 1, 2026

September 29, 2025

Effective January 1, 2026, HealthSpringSM will manage prior authorizations for Post Acute Care (PAC) services, including Skilled Nursing Facility, Inpatient Rehabilitation, Long Term Acute Care […] Read more >

Falls Prevention Awareness Week: Talk with Patients about Reducing Risks

September 17, 2025

September 22 – 26 is Falls Prevention Awareness Week, a national initiative aimed at raising awareness about the dangers of falls and promoting strategies to […] Read more >

Cigna Healthcare Medicare Advantage is becoming HealthSpring

July 8, 2025

The Cigna Healthcare® Medicare Advantage brand, which includes Medicare Advantage, Supplemental Benefits and Medicare Part D, is changing to HealthSpringSM. Our new benefit plans will […] Read more >

Care coordination can improve patient experiences

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 […] Read more >

Reminder: New rejection codes for Medicare Advantage claims

March 27, 2025

On December 5, our claim processing system for Cigna Healthcare® Medicare Advantage plans was updated to include new rejection codes. This may result in claim […] Read more >

Health equity resources for your practice

March 24, 2025

As a provider in the Cigna Healthcare℠ Medicare Advantage network, you have a deep understanding of the community you serve. There are a variety of […] Read more >

Cigna Healthcare Medicare Advantage transaction Frequently asked questions

March 19, 2025

Updated for transaction close: March 19, 2025 The acquisition of Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare Part D and CareAllies businesses is now complete. […] Read more >

Welcome, Cigna Healthcare Medicare Advantage Providers: A message from Health Care Service Corporation

March 19, 2025

Welcome to Health Care Service Corporation. The transaction to acquire Cigna Healthcare’s Medicare Advantage, Supplemental Benefits, Medicare Part D and CareAllies businesses is now complete. […] Read more >

Tips to help you submit prior authorization requests quicker with the HSConnect provider portal

February 21, 2025

We are committed to helping reduce the time you and your office staff spend on administrative tasks. To ensure your prior authorization requests are processed […] Read more >

HEDIS and QRS data collection are right around the corner

January 16, 2025

Each year, we collect data for the Healthcare Effectiveness Data and Information Set (HEDIS®).* The National Committee for Quality Assurance (NCQA), employers, and health plans […] Read more >

Reminder: Centers for Medicare & Medicaid Services prohibition on billing Qualified Medicare Beneficiaries

December 23, 2024

Federal law prohibits all Medicare providers and suppliers, including pharmacies, from billing Medicare beneficiaries in the Qualified Medicare Beneficiary (QMB) eligibility group for Medicare Part […] Read more >

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 […] Read more >

Stars annual surveys overview

December 1, 2024

Reach for the Stars Higher Star ratings can positively impact the growth of your practice by: Surveys and data that contribute to Star ratings Consumer […] Read more >

Stars digital guidebook

December 1, 2024

Your patients use Star ratings and other quality measures to make informed health care decisions, such as who to choose as their primary care provider […] Read more >

Provider resources for accurate coding and documentation

December 1, 2024

You can help assure quicker payment by following the official guidelines for chronic condition coding and reporting, while adhering to the Centers for Medicare & […] Read more >

Prior authorization

December 1, 2024

Did you know? Less than four percent of all medical services for your patients with Cigna Healthcare Medicare Advantage plans require prior authorization. When services […] Read more >

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