Medicare AdvantageCoverageLow impact
Statin use for diabetes and cardiovascular diagnoses
Cigna·Family Medicine, Internal Medicine, Cardiology +1 more·Pharmacy
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Summary
Cigna Healthcare has published updated guidelines for statin therapy performance measures for Medicare Advantage patients with diabetes and cardiovascular disease. The policy outlines coverage tiers, intensity requirements, and quality measures but does not change billing procedures or require prior authorization.
Action Required
No immediate billing changes required. Providers should review statin prescribing patterns for Medicare Advantage patients with diabetes and cardiovascular disease to ensure compliance with quality measures. Consider using Cigna's RationalMed alerts and gap-in-care reporting tools to identify non-adherent patients.