Cigna Group has settled with the U.S. government over allegations of overcharging the Medicare Advantage program. The agreement, reached on Friday, involves Cigna paying approximately $172 million and committing to a corporate integrity agreement with the U.S. Office of Inspector General. U.S. prosecutors in Manhattan had accused Cigna of obtaining tens of millions of dollars in Medicare funds between 2012 and 2019 by submitting false patient diagnoses when required tests had not been conducted. Medicare is a government health insurance program for individuals aged 65 and older.
Cigna Group has announced a resolution with the United States regarding allegations of overcharging the Medicare Advantage program. The agreement, finalized on Friday, entails Cigna making a payment of approximately $172 million. Additionally, Cigna has committed to entering into a corporate integrity agreement with the U.S. Office of Inspector General.
In October 2022, U.S. prosecutors in Manhattan accused Cigna, a Connecticut-based health insurer, of securing tens of millions of dollars in Medicare funds from 2012 to 2019 through the submission of inaccurate patient diagnoses. These diagnoses were related to cases where healthcare providers retained by Cigna had not conducted the required medical tests.
Medicare, a government-sponsored health insurance program designed for individuals aged 65 and above, was at the center of this dispute.
