Cigna, through its preauthorization partner, MedSolutions, Inc., has begun an Informed Choice program.
Cigna, through its preauthorization partner, MedSolutions, Inc., has begun an Informed Choice program. The question becomes, whose choice?
When a patient calls to pre-authorize a CT, MRI or PET scan they may be contacted by phone by a MedSolution representative. The representative tells the patient they want them to cancel their appointment and refers them to a US Imaging center that “will save them money”. This is upsetting patients, referring doctors and radiologists alike. This is Cigna’s effort to pay 60-70% below the negotiated MedSolutions rates. Based on RBMA Practice Management forum posts, this is happening across the country.
When some practices tried to contact Cigna about their Informed Choice program, Cigna used it as an opportunity to try to renegotiate their contract. There is no mention of quality,
Information goes both ways. Inform your Cigna patients of what their insurance company is trying to do and prepare them for the MedSolutions phone call. Discuss quality issues such as accreditation, turn around time, etc.