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Friday, Nov 4 2016

Full Issue

Cigna Reports Profits Fell After Scrutiny Of Medicare Advantage Plans

Federal officials halted enrollment into the company's Medicare Advantage plans in January because they alleged there were systemic problems that were keeping seniors from getting services and drugs. The company's CEO also says he expects that plans on the health law's marketplace next year will show a loss.

Cigna Corp. said profit fell in its latest quarter as its government business dragged on results. The government segment鈥檚 issues included medical costs in Cigna鈥檚 small Medicaid business, particularly in Texas and Illinois. Cigna also faced expenses related to a Centers for Medicare and Medicaid Services audit of its Medicare plans. (Hufford, 11/3)

Cigna Corp. third quarter profits were down compared to a year ago as costs to reform its Medicare Advantage and Medicare drug prescription programs were a drag on results. ... Cigna has been under sanctions from federal regulators since late January. The Centers for Medicare and Medicaid Services said Cigna had widespread and systemic failures that prevented seniors from accessing medical services and prescription drugs. It said that the ways Cigna operated in restricting access to drugs and services created "a serious threat to enrollees' health and safety." (Lee, 11/3)

The health insurer Cigna is planning for a loss on the Obamacare market next year, its CEO said Thursday. 鈥淲e are going to expect to see some revenue growth but we are continuing to plan for a loss,鈥 CEO David Cordani said on the company鈥檚 third quarter earnings call. The insurer鈥檚 strategy to slowly expand into the new marketplace created by the Affordable Care Act has 鈥減roven to be more right than wrong,鈥 he said, noting that was unfortunate. (McIntire, 11/3)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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