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Tag: Cigna


News

In brief: AAH pulls out all the stops; Cigna, Express Scripts plan merger

March 9, 2018HME News Staff

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...

aahomecare, Cigna, H.R. 4229, Permobil, QME


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Specialty Providers

Cigna, Express Scripts plan merger

March 9, 2018HME News Staff

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...

Cigna, Express Scripts


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Also Noted

Lawsuit charges Cigna with applying excessive co-pays

October 11, 2017HME News Staff

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...

CareCentrix, Cigna, co-pay, Sleep Apnea


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Also Noted

Cigna stays with CareCentrix

February 16, 2016HME News Staff

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...

Benefits Manager, CareCentrix, Cigna, Sleep Therapy


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Also Noted

NCPA rejects 'merger mania'

September 10, 2015HME News Staff

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...

Aetna, Anthem, Cigna, Humana, Mergers, National Community Pharmacists Association


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Also Noted

CareCentrix, Cigna stick together

February 19, 2014HME News Staff

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.

CareCentrix, Cigna


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News

OIG rips on HME documentation

January 28, 2010HME News Staff

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...

Cigna, HME, HME, HME, KX modifier, Office of inspector general, OIG


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