Ritter Insurance Marketing, Craig Ritter

CMS Lifts Sanctions on Cigna MAPD

Cigna, whose Medicare Advantage business has been under sanctions for 18 months, is once again free to enroll customers in MA plans beginning July 1, according to a filing from the Securities and Exchange Commission.

The Centers for Medicare and Medicaid Services lifted a suspension placed in January 2016 after “widespread and systemic” failures that prevented members from accessing medical services. According to Reuters, the governments imposed sanctions when it learned Cigna failed to “handle complaints and grievances properly from patients who had been denied coverage for health benefits or drugs.” The audit also found issue with its list of covered drugs.

According to Modern Healthcare, the sanctions have had a big effect on Medicare enrollment figures. As of March 31, Cigna enrolled 441,000 Medicare members, down 20 percent from the same period in 2016, just after the sanctions took effect. According to the 2017 Q1 report, revenue was also down 18 percent over the last year.

 

Posted by filed under Cigna, CMS, Uncategorized .


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