Cigna Reaches $172M Settlement Over Allegations of Inflating Medicare Advantage Patient Illnesses

Cigna Group reaches $172 million settlement with U.S. over claims it overcharged Medicare Advantage program
Cigna accused of making patients appear more ill than they were to obtain extra Medicare funds
Settlement includes corporate integrity agreement with U.S. Office of Inspector General
Cigna allegedly obtained tens of millions in false Medicare funds between 2012-2019
Medicare is a health insurance program for people 65+ administered by the government

reuters.com

Relevant topic timeline:

8/24/2023

Cigna removes pre-authorization requirement for 25% of medical services

Health insurer Cigna Group plans to eliminate the use of prior authorization for 25% of medical services, aiming to reduce administrative burden for clinicians and provide easier access to insurance coverage.