Cigna Healthcare and Evernorth¹ Accreditations

Cigna Healthcare URAC Case Management

Expires 7/1/2025

By achieving URAC Accreditation, the case management program at Cigna Healthcare 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 Healthcare 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 of Cigna Healthcare, please visit URAC.org

Cigna Healthcare 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 the Health Utilization Management Accreditation of Cigna Healthcare, URAC affirms the use of evidence-based guidelines and specific review requirements of Cigna Healthcare that meet the demands of a changing health care system. The utilization management program of Cigna Healthcare 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 of Cigna Healthcare, please visit URAC.org

Cigna Healthcare URAC Pharmacy Benefit Management

Expires 7/1/2025

Quality health care is crucial to our customers and it is important to Cigna Healthcare to be measured against national standards and undergo rigorous evaluation by an independent accrediting body, which validate our commitment to quality. The pharmacy benefit management of Cigna Healthcare 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 of Cigna Healthcare, please visit URAC.org

Evernorth 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 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.

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 Population Health Program

The accredited Chronic Condition Management programs of Cigna Healthcare 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 the chronic condition program of Cigna Healthcare 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 the Population Health Management Accreditation of Cigna Healthcare, please visit www.ncqa.org and select “Report Cards”.

Cigna Healthcare 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 Healthcare earned PHQ 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 and hospitals. To view the Physician and Hospital Quality Certification Report Card of Cigna Healthcare, please visit www.ncqa.org and select “Report Cards”. 

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”.

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 the health and wellness programs of Evernorth and Cigna Healthcare, including:

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

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