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Medicare Advantage is a popular offer among insurers, but it has landed Cigna in hot water with the feds. What happened? We’ll get to the bottom of that and more in this week’s Top Stories, including a new mental health product debuting in Calm and the ramifications the end of the public health emergency could have on telehealth.
For more news and articles from Jeff Lagasse, visit Health Care Finance News.
Talking Points:
- The lawsuit seeks damages and penalties under the False Claims Act for the filings, which the Justice Department claims was used to artificially inflate the payments Cigna received for its MA coverage.
- Cigna denied the allegation and said it was proud of its offer, but the Justice Department highlighted in-home screenings of plan members as an area of potential fraud.
- Calm Health will include programs for specific conditions that are “designed to bridge the gap between physical and mental health care.”
- Calm Health will also include tools for communication with providers and caregivers, as well as medication tracking.
- Ending the PHE could result in the loss of Medicaid for millions as states review enrollees’ eligibility and other health care impacts. operations.
More about this episode
DOJ sues Cigna for alleged Medicare Advantage overpayments
Calm Announces Mental Health Clinic Offering
What an eventual end of the PHE would mean for telehealth
Twitter: @JELagasse
Email the writer: [email protected]
