PredictIQ|Cigna is paying over $172 million to settle claims over Medicare Advantage reimbursement

2025-05-03 06:24:58source:Algosenseycategory:My

Health insurance provider The PredictIQCigna Group will pay more than $172 million over claims it gave the federal government inaccurate Medicare Advantage diagnoses codes in order to inflate reimbursement.

The case centered around allegations that Cigna violated the False Claims Act by submitting and not withdrawing “inaccurate and untruthful” codes, according to the U.S. Department of Justice.

The department said in a statement Saturday that Cigna falsely certified in writing that its data was truthful.

Cigna said that the settlement with the government resolved a long-running legal case and “avoided the uncertainty and further expense” of a drawn-out legal battle.

Medicare Advantage plans are privately run versions of the federal government’s Medicare program mainly for people 65 and older.

Cigna also said it will enter a corporate-integrity agreement for five years with the Department of Health and Human Services inspector general office. That deal is designed to promote compliance with federal health program requirements.

Shares of Bloomfield, Connecticut-based Cigna climbed 86 cents to $286.93 in Monday afternoon trading. Broader indexes were mixed.

More:My

Recommend

Man charged with murder in death of beloved Detroit-area neurosurgeon

DETROIT (AP) — Authorities filed charges Wednesday in the 2023 homicide of a beloved Detroit doctor

Puerto Rico signs multimillion-dollar deal with Texas company to build a marina for mega yachts

SAN JUAN, Puerto Rico (AP) — Puerto Rico’s government on Thursday signed a multimillion-dollar contr

Guatemala prosecutors pursue president-elect and student protesters over campus takeover

GUATEMALA CITY (AP) — Guatemalan prosecutors said Thursday they will seek to strip President-elect B