Cigna Accreditation

URAC Case Management

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.

URAC Health Utilization Management

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.

URAC Pharmacy Benefit Management

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.

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.”

NCQA Managed Behavioral Health Organization

Cigna 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 Cigna's ongoing commitment to quality and demonstrates dedication to helping our customers. To view Cigna's Management Behavioral Health Organization Accreditation Report Card, please visit www.ncqa.org and select “Report Cards."

NCQA Disease Management Accreditation

Cigna's accredited Disease Management (DM) programs include asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, depression and diabetes. Earning NCQA Disease Management Accreditation is an indication that Cigna’s DM 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 Disease Management Accreditation program is designed to help individuals evaluate Disease Management programs and to improve patient care and service. To view Cigna's Disease Management Accreditation, please visit www.ncqa.org and select "Report Cards."

NCQA Wellness and Health Promotion Accreditation

The NCQA Wellness & Health Promotion Accreditation has been effective for several years. It applies to a wide range of 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 Cigna's Wellness and Health Promotion Accreditation-Accredited Report Card, please visit www.ncqa.org and select "Report Cards."

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."