{"id":7219,"date":"2025-09-29T23:02:34","date_gmt":"2025-09-29T23:02:34","guid":{"rendered":"https:\/\/mailitics.com\/index.php\/2025\/09\/29\/cigna-downcoding-policy-complex-visits-medicare-advantage-audits\/"},"modified":"2025-09-29T23:02:34","modified_gmt":"2025-09-29T23:02:34","slug":"cigna-downcoding-policy-complex-visits-medicare-advantage-audits","status":"publish","type":"post","link":"https:\/\/mailitics.com\/index.php\/2025\/09\/29\/cigna-downcoding-policy-complex-visits-medicare-advantage-audits\/","title":{"rendered":"STAT+: Doctors face off with Cigna over new policy that may cut reimbursements"},"content":{"rendered":"<p>    STAT+: Doctors face off with Cigna over new policy that may cut reimbursements<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n    <!-- no image --><br \/>\n \t<BR><br \/>\n<BR><\/BR><\/p>\n<div>\n<p><em>This is the online version of STAT\u2019s weekly email newsletter Health Care Inc.\u00a0<a href=\"https:\/\/www.statnews.com\/category\/health-care-inc\/\">Sign up here<\/a>.<\/em><\/p>\n<p>Several people reached out after <a href=\"https:\/\/www.statnews.com\/2025\/09\/22\/hospital-acquired-infection-reporting-healthcare-dirty-little-secret\/\" rel=\"noopener\">last week\u2019s investigation<\/a> to say they, too, experienced pressure not to test for infections or report them to the government. One even started a spirited discussion about it <a href=\"https:\/\/www.linkedin.com\/feed\/update\/urn:li:activity:7375932533978591232\/?commentUrn=urn%3Ali%3Acomment%3A%28activity%3A7375932533978591232%2C7376972891139129344%29&amp;dashCommentUrn=urn%3Ali%3Afsd_comment%3A%287376972891139129344%2Curn%3Ali%3Aactivity%3A7375932533978591232%29\" rel=\"noopener\">on Linkedin<\/a>. As always, find me at: tara.bannow@statnews.com.\u00a0<\/p>\n<h2 class=\"wp-block-heading\" id=\"h-the-uncertain-future-of-medicare-advantage-audits\">The uncertain future of Medicare Advantage audits<\/h2>\n<p>A federal judge in Texas <a href=\"https:\/\/www.statnews.com\/2025\/09\/25\/federal-judge-vacates-medicare-advantage-audit-rule\/\" rel=\"noopener\">threw out<\/a> a Biden-era rule last week that would have ramped up federal audits of private Medicare plans, recouping billions in the coming decade. Judge Reed O\u2019Connor sided with Humana in its challenge to the 2023 rule.\u00a0<\/p>\n<p><a href=\"https:\/\/www.statnews.com\/2025\/09\/29\/cigna-downcoding-policy-complex-visits-medicare-advantage-audits\/?utm_campaign=rss\">Continue to STAT+ to read the full story\u2026<\/a><\/p>\n<\/div>\n<p> \t<BR><br \/>\n <BR><\/BR><br \/>\n    STAT Staff and Tara Bannow<br \/>\n \t<BR><br \/>\n<BR><\/BR><br \/>\n<a href=\"https:\/\/www.statnews.com\/2025\/09\/29\/cigna-downcoding-policy-complex-visits-medicare-advantage-audits\/?utm_campaign=rss\">Go to statnews<\/a><br \/>\n \t<BR><br \/>\n <BR><\/BR><\/p>\n","protected":false},"excerpt":{"rendered":"<p>STAT+: Doctors face off with Cigna over new policy that may cut reimbursements This is the online version of STAT\u2019s weekly email newsletter Health Care Inc.\u00a0Sign up here. Several people reached out after last week\u2019s investigation to say they, too, experienced pressure not to test for infections or report them to the government. One even [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[58,2159,2208,2178,2210,2211,2288,2212,2213,153,2266,2151,2144,2152],"tags":[2150],"class_list":["post-7219","post","type-post","status-publish","format-standard","hentry","category-business","category-cancer","category-drug-development","category-government-agencies","category-health-care-inc","category-health-care-inc-newsletter","category-health-insurance","category-hospitals","category-insurance","category-legal","category-medicare-advantage","category-policy","category-politics","category-stat","tag-statnews"],"_links":{"self":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/7219"}],"collection":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/comments?post=7219"}],"version-history":[{"count":0,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/posts\/7219\/revisions"}],"wp:attachment":[{"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/media?parent=7219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/categories?post=7219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mailitics.com\/index.php\/wp-json\/wp\/v2\/tags?post=7219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}