Cigna Healthcare and Evernorth1 Accreditations
Cigna Health Management, Inc. URAC Accreditations
Cigna Health Management, Inc. URAC Case Management
Expires 7/1/2028
By achieving URAC Accreditation, the 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 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 the Case Management accreditation, please visit URAC.org
Cigna Health Management, Inc. URAC Health Utilization Management
Expires 7/1/2028
URAC accreditation provides a mark of distinction for organizations demonstrating their commitment to quality health care. Through the 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 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 the Utilization Management accreditation, please visit URAC.org
Cigna Health Management, Inc. URAC Pharmacy Benefit Management
Expires 7/1/2028
Quality health care is crucial to our customers and it is important to be measured against national standards and undergo rigorous evaluation by an independent accrediting body, which validate our commitment to quality. 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 the Pharmacy Benefit Management accreditation, please visit URAC.org
Evernorth URAC Accreditations
Evernorth URAC Health Utilization Management
Expires 9/1/2028
URAC accreditation provides a mark of distinction for organizations demonstrating their commitment to quality health care. Through the Health Utilization Management Accreditation of Evernorth, 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 the Utilization Management - behavioral accreditation of Evernorth, 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 visitNCQA.org.
The following NCQA Accreditations and Certification underscores the commitment of Cigna Healthcare and Evernorth to excellence, quality, and affordable health care to the individuals we serve.
Cigna Healthcare NCQA Accreditations
Cigna Healthcare 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 Healthcare 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 the success of Cigna Healthcare in earning NCQA Health Plan Accreditation. To view the Health Plan Accreditation Report Card of Cigna Healthcare, please visit www.ncqa.org and select “Report Cards".
Cigna Healthcare NCQA Physician Quality Certification
The NCQA Physician Quality (PQ) Certification program evaluates how well health plans measure, and report the quality and cost of physicians and hospitals. Cigna Healthcare earned PQ certification for two physician quality measurement programs: Physician Quality and Cost Efficiency Displays and Cigna Healthcare Care Designation. This Cigna Healthcare program provides our customers with information about quality and cost, which may help them make better, more informed decisions when choosing physicians. To view the Physician Quality Certification Report Card of Cigna Healthcare, please visit www.ncqa.org and select “Report Cards”.
Evernorth 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 the ongoing commitment of Evernorth to quality and demonstrates dedication to helping our customers. To view the Management Behavioral Health Organization Accreditation Report Card of Evernorth, please visit www.ncqa.org and select “Report Cards”.