Global health company The Cigna Group has announced that it has resolved pending legal matters related to Medicare Advantage risk adjustment practices. The company has agreed to pay approximately $172 million to the federal government and aims to move beyond industry-wide legal disputes to focus on delivering value to customers and taxpayers. The agreements resolve a False Claims Act lawsuit and an investigation related to past risk adjustment submissions. The Cigna Group will also enter into a Corporate Integrity Agreement with the Office of Inspector General to ensure ongoing compliance with federal health program requirements for the next five years.
The resolution of these legal matters allows The Cigna Group to prioritize its resources and avoid the uncertainties and expenses of prolonged litigation. Chris DeRosa, the president of Cigna Healthcare’s U.S. government business, expressed satisfaction with the resolution and looks forward to providing high-quality and affordable Medicare Advantage coverage in the future. The company has continuously evolved and expanded its Medicare business, recently completing a successful program audit by the Centers for Medicare & Medicaid Services. Additionally, The Cigna Group will utilize the Corporate Integrity Agreement to gain insights and improve support for beneficiaries.
The Cigna Group is a global health company committed to creating a better future for individuals and communities. With sales capabilities in over 30 countries and approximately 165 million customer relationships worldwide, the company aims to partner and innovate solutions for better health. By resolving these legal matters, The Cigna Group can continue its mission of improving the health and vitality of its customers while adhering to federal health program requirements.