Healthcare DIVE October 2, 2023
The agreement settles a whistleblower lawsuit against Cigna that the Department of Justice joined last year.
Dive Brief:
- Cigna has agreed to pay $172 million to settle allegations that the payer submitted false diagnosis codes for its Medicare Advantage enrollees to increase its reimbursement from the government, the Department of Justice announced Saturday.
- The agreement settles a whistleblower lawsuit against Cigna that the DOJ joined last year, after previously declining to intervene in the case.
- As part of the settlement, Cigna has agreed to a five-year oversight plan with the HHS Office of Inspector General requiring the Connecticut-based insurer to implement a number of accountability and auditing provisions, including an annual independent review of its risk adjustment data.
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