All PlansReimbursementMedium impact
Advancing clinical excellence through value-based reimbursement in behavioral health
Cigna·Psychiatry·Claims & Billing
We identified it
Jun 19, 2026
Summary
Cigna/Evernorth is implementing value-based reimbursement arrangements for behavioral health services, focusing on outcome-based payments rather than volume-based billing. This represents a shift toward measurement-based care programs that tie reimbursement to clinical outcomes and quality metrics.
Action Required
Monitor for future communications from Cigna/Evernorth regarding specific value-based reimbursement contracts. Billing team should prepare to track and report clinical outcome metrics if entering into these arrangements. Consider implementing measurement-based care documentation processes for behavioral health services to align with payer expectations.