Tag: Cigna

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...

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...

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...

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...

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...

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...

WASHINGTON - The National Community Pharmacists Association (NCPA) supports today's hearing examining the consolidation in the healthcare marketplace, conducted by the House of Representatives Subcommittee on Regulatory Reform, Commercial and Antitrust Law. Of particular concern: the proposed Anthem-Cigna and Aetna-Humana mergers. “Policymakers cannot allow the 'merger mania' gripping the nation to proceed in a way that harms patients and the community pharmacists who serve them,” said...

HARTFORD, Conn. - CareCentrix has re-upped its partnership with Cigna, inking a five-year agreement to coordinate home health services, including nursing, home infusion and HME to its members, according to a press release. CareCentrix will also provide sleep therapy management services through its Sleep Management Solutions subsidiary. CareCentrix serves more than 23 million people through a network of 7,400 providers.

WASHINGTON - About 50% of the time, the KX modifier does not ensure that HME providers have the required supporting documentation on file, according to a new report from the Office of Inspector General (OIG). The OIG examined 100 claims with the KX modifier from 2006 totaling $8,809. It found that providers didn't have the required documentation on file for 54 claims totaling $4,574. "Based on our sample, we estimated that Palmetto GBA (the DMERC for Jurisdiction C at the time) paid approximately...