For Providers COVID-19 UPDATES We’Re Committed to Keeping You Updated on How We Are Supporting Providers and Customers
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Cigna launches five-year initiative to combat systemic racism Page 3 Staying connected with your patients through virtual care Page 12 Cigna launches Evernorth, a new brand Network Page 26 eviCore to expand its management of certain Cigna News FOURTH QUARTER 2020 services Page 27 For providers COVID-19 UPDATES We’re committed to keeping you updated on how we are supporting providers and customers. Visit the Cigna for Health Care Professionals website (CignaforHCP.com) for the most current information, including reimbursement, interim virtual care coverage, and other guidelines. Network News FOURTH QUARTER 2020 Contents FEATURE ARTICLE PHARMACY NEWS Cigna launches five-year initiative to combat systemic racism .................. 3 Changes in drug formulary effective January 1, 2021 .................................... 20 Medical oncology clinical decision support enhancement ..........................21 Oncology clinical pathway program ........................................................................21 Accredo’s digital tools help your patients manage medications .............22 POLICY UPDATES HELPFUL REMINDERS Transition to Express Scripts Pharmacy: Reminder ........................................23 Preventive care services policy updates ................................................................. 4 Market Medical Executives Clinical, reimbursement, and administrative policy updates ........................ 5 MEDICARE NEWS contact information ...............................37 Precertification updates ................................................................................................... 7 2021 Cigna Medicare plan highlights .......................................................................24 Updated Cigna reference guides now available ............................ 38 ELECTRONIC TOOLS Use the Network .................................... 38 Register to receive InstaMed patient payments ................................................. 8 Patient reviews reminders ................. 39 How to request fee schedules online ........................................................................ 8 GENERAL NEWS Quick Guide to Cigna ID Cards ...... 39 View your patients' benefits by procedure code ............................................... 9 Cigna launches Evernorth, a new brand ................................................................26 Online claim reconsideration requests ................................................................... 10 eviCore to expand its management of certain Cigna services .................27 Urgent care Online claim appeals coming soon .......................................................................... 10 Home infusion therapy transition ..............................................................................28 for nonemergencies .............................40 Webinar schedule for digital solutions ..................................................................... 11 Cigna Centers of Excellence for hospitals ............................................................29 View drug benefit details using real-time benefit check ..........40 CONNECTED CARE High-tech radiology site of care medical necessity review program expansion .......................................................................................... 30 Knowledge with CareAllies Staying connected with your patients through virtual care ........................12 Accountable Care program roster enhancement: education series ........................................41 Empathizing may be key to improving your patients' health .....................13 Add providers monthly ....................................................................................................31 Cigna Resilience Index: 2020 U.S. Report .............................................................14 Resources to enhance Patient concerns or complaints ..................................................................................31 interactions with culturally Educating your patients about gun safety ...........................................................16 Cigna Shared Administration Repricing ................................................................32 diverse patients .........................................41 NETWORK UPDATES Have you moved recently? Did REGIONAL NEWS Cigna Gene Therapy Program .....................................................................................17 your phone number change? .......... 42 Cigna + Oscar plans launched in Georgia and Tennessee ...........................33 Get digital access to Cigna and Priority Health announce new Strategic Alliance .....................33 important information ......................... 43 California provider access and availability .......................................................... 34 Access the archives .............................. 43 CLINICAL NEWS MA law: Pain management alternative services and medications ..........35 Cigna's flu shot campaign ..............................................................................................18 Letters to the editor ............................. 43 COMMUNITY GIVING Cigna supports pipeline of superintendents of color .....................................36 QUALCARE NEWS COVID-19 resources ...........................................................................................................19 Workers’ compensation, HMO, and PPO plans in focus ................................19 Change Healthcare billing and claims processing requirement .............. 20 2 CIGNA NETWORK NEWS • FOURTH QUARTER 2020 FEATURE ARTICLE CIGNA LAUNCHES FIVE-YEAR INITIATIVE TO COMBAT SYSTEMIC RACISM Cigna firmly denounces racism and discrimination in all forms, and is committed to confronting these issues with intensity, empathy, and accountability. We have launched a five-year initiative to expand and accelerate efforts to support diversity, inclusion, equality, and equity for communities of color. Its key components are described below. Improve health › Expanding Cigna's Health Equity Council. Since There are striking differences in health outcomes 2008, our team of multidisciplinary leaders has in communities with poor social determinants of been collaborating on research, testing, and health, such as unstable housing, low income, unsafe solutions to prevent chronic diseases and improve neighborhoods, and education. These disparities health outcomes in minority communities. We disproportionately impact communities of color. As a will further accelerate these efforts to address › Creating inclusive environments. We now require › Promoting equity and equality in career result, their health outcomes are worse than others. clinical care, social determinants of health, and unconscious bias training for all employees, and advancement. We are committed to health behaviors. We are committing to closing these gaps by: cultural competency training for all managers. compensating our employees equitably and Improve well-being We will continue to advance conversations about competitively, regardless of race, gender, age, or Eliminating barriers to health and improving › systemic racism in America. sexual orientation, and increasing diversity among access to care. Through the Cigna Foundation, we Racism and bias take a toll on overall well-being. our leadership. will continue to make grants to eliminate health Everyone should feel safe in their environment, and Improve peace of mind › Supporting minority businesses. We are on barriers and improve access to care. This includes no one should feel the need to confront racism and Financial health is a key element of peace of mind. track to achieve $1 billion in diverse supplier needs such as food insecurity and mental health bias alone. Our actions therefore include: Recognizing that racism has a negative economic funding by 2025. that we address through our Healthier Kids For › Standing together. We have invited our 75,000+ impact on people of color, we are: Our Future® program.* employees to sign a commitment to embody › Creating more educational opportunities. We are Governance We are also actively engaged with Congress and inclusive behavior in their professional and partnering with Howard University’s Urban Accountability is a key foundation of our overall the Administration to address and eliminate racial personal lives. We have enabled them to Superintendent Academy to provide funding for equity and equality initiative. We are establishing a and ethnic disparities in health care delivery and collectively donate 100,000 hours of volunteer people of color to become urban public school governance process to oversee its elements, while outcomes. For more information, see our 2019 time each year for programs related to social superintendents. (See “Cigna supports pipeline of tracking and reporting on progress. corporate responsibility report.** justice, health equity, diversity, inclusion, and superintendents of color” on page 36 for more For more information on Cigna's diversity and community outreach. information.) We are also furthering Cigna inclusion strategy, click here.*** Scholars, a program that assists dependents and * Cigna.com > About Us > Corporate Responsibility > Healthier Kids For Our Future program. grandchildren of Cigna employees who plan to ** Cigna.com > About Us > Corporate Responsibility > Corporate Responsibility Report. pursue post-secondary or vocational education. *** Cigna.com > About Us > Corporate Responsibility > Corporate