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Cigna and Evernorth1 Accreditations

Cigna and Evernorth have earned accreditation and certification from The National Committee for Quality Assurance (NCQA) and URAC in acknowledgement of our longstanding history and strong commitment to quality in health care services. The nationally-recognized accreditations by NCQA and URAC affirms Cigna and Evernorth's mission statement to improve the health and well-being of the individuals we serve through an integrated approach to quality and affordability in health care. This mission and approach is a common value shared across several organizations and programs within Cigna and Evernorth.

Cigna and Evernorth’s dedication to the delivery of quality services is demonstrated by the continuous improvement of business processes through benchmarking against nationally recognized standards. Cigna and Evernorth have received several URAC accreditations:

Cigna's URAC Accreditations

Cigna's URAC Case Management

Expires 7/1/2025

By achieving URAC Accreditation, Cigna's case management program displays leadership through a commitment to quality and accountability. People coping with a wide range of health challenges, such as cancer, a transplant or a complicated pregnancy, benefit from the caring support provided to them by Cigna case managers. URAC accreditation ensures the delivery of quality services to our customers in managing transitions of care to reduce readmissions, improve and maintain their health. To verify Cigna's Case Management accreditation, please visit URAC.org.

Cigna's URAC Health Utilization Management

Expires 7/1/2025

URAC accreditation provides a mark of distinction for organizations demonstrating their commitment to quality health care. Through Cigna's Health Utilization Management Accreditation, URAC affirms Cigna's use of evidence-based guidelines and specific review requirements that meet the demands of a changing health care system. Cigna's utilization management program is supported by reliable policies and procedures used during the review of health care services for medical necessity and appropriateness of care to help ensure easy access to care and correct administration of our customer’s benefits. To verify Cigna's Utilization Management accreditation, please visit URAC.org.

Cigna's URAC Pharmacy Benefit Management

Expires 7/1/2025

Quality health care is crucial to our customers and it is important to Cigna to be measured against national standards and undergo rigorous evaluation by an independent accrediting body, which validate our commitment to quality. Cigna’s pharmacy benefit management ensures that contract terms and pricing are clear, so that individuals have access to the drugs and pharmacies they need to be healthy. To verify Cigna's Pharmacy Benefit Management accreditation, please visit URAC.org.

Evernorth's URAC Accreditations

Evernorth’s URAC Health Utilization Management

Expires 9/1/2025

URAC accreditation provides a mark of distinction for organizations demonstrating their commitment to quality health care. Through Evernorth's Health Utilization Management Accreditation, URAC affirms the use of evidence-based guidelines and specific review requirements that meet the demands of a changing health care system. The utilization management programs are supported by reliable policies and procedures used during the review of health care services for medical necessity and appropriateness of care to help ensure easy access to care and correct administration of our customer’s benefits. To verify Evernorth’s Utilization Management - behavioral accreditation, please visit URAC.org.

About the National Committee for Quality Assurance

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®2) is the most widely used performance measurement tool in health care. NCQA is committed to providing health care quality information for consumers, purchasers, health care professionals and researchers. For more information, please visit NCQA.org.

The following NCQA Accreditations and Certification underscores Cigna and Evernorth's commitment to excellence, quality and affordable health care to the individuals we serve.

Cigna's NCQA Accreditations

Cigna NCQA Health Plan Accreditation

NCQA Health Plan Accreditation evaluates how well a health plan manages its entire delivery system, including physicians, hospitals and other facilities, as well as administrative services. Cigna implements and manages numerous activities throughout the organization to ensure processes and opportunities are objectively and systematically monitored, and evaluated, to improve the quality and appropriateness of care and services. This ongoing quality oversight support Cigna's success in earning NCQA Health Plan Accreditation. To view Cigna's Health Plan Accreditation Report Card, please visit www.ncqa.org and select “Report Cards".

Cigna NCQA Population Health Program

Cigna's accredited Chronic Condition Management programs include asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, depression and diabetes. Earning NCQA Population Health Program Accreditation is an indication that Cigna’s chronic condition program is dedicated to giving patients and health care professionals the support, education and other help necessary to facilitate good outcomes and care. NCQA’s Population Health Program Accreditation is designed to help individuals evaluate the chronic condition management programs and to improve patient care and service. To view Cigna's Population Health Management Accreditation, please visit www.ncqa.org and select “Report Cards”.

Cigna NCQA Physician and Hospital Quality Certification

The NCQA Physician and Hospital Quality (PHQ) Certification program evaluates how well health plans measure, and report the quality and cost of physicians and hospitals. Cigna earned PHQ certification for two physician quality measurement programs: Physician Quality and Cost Efficiency Displays and Cigna Care Designation. Certification was also achieved for Cigna's hospital quality measurement program, Centers of Excellence. These Cigna programs provide our customers with information about quality and cost, which may help them make better, more informed decisions when choosing physicians and hospitals. To view Cigna's Physician and Hospital Quality Certification Report Card, please visit www.ncqa.org and select “Report Cards”.

Evernorth's NCQA Accreditations

Evernorth NCQA Managed Behavioral Healthcare Organization

Evernorth has earned full NCQA Managed Behavioral Healthcare Organization (MBHO) Accreditation for how well it manages its entire delivery system, including physicians, hospitals and other facilities, as well as administrative services. NCQA reviews include rigorous on-site and off-site evaluations conducted by a team of physicians and managed care experts. Earning Full Managed Behavioral Health Organization Accreditation from NCQA is a powerful validation of Evernorth's ongoing commitment to quality and demonstrates dedication to helping our customers. To view Evernorth's Management Behavioral Health Organization Accreditation Report Card, please visit www.ncqa.org and select “Report Cards".

Evernorth NCQA Wellness & Health Promotion Accreditation

The NCQA Wellness & Health Promotion Accreditation has been effective for several years. It applies to a wide range of Evernorth and Cigna's health and wellness programs, including:

  • Health Advisor
  • Your Health First for chronic condition management
  • Online health coaching programs
  • Client health promotion and wellness consultation services

To view Evernorth and Cigna's Wellness and Health Promotion Accreditation-Accredited Report Card, please visit www.ncqa.org and select “Report Cards”.

Related Resources

Cigna Milestones

Cigna Leadership Team

1“Cigna” refers to certain health care related operating subsidiaries of Cigna Corporation and Evernorth Health, Inc. Such operating subsidiaries include Cigna Health and Life Insurance Company, Cigna Health Management, Inc., Evernorth Behavioral Health, Inc., Evernorth Care Solutions, Inc., Evernorth Direct Health, LLC and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc.

2HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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