AI @ Cigna

Cigna confirmed continued coverage of AI cardiovascular imaging solutions and emphasized responsible, human-intervened AI use aligning with human rights policies; additionally, launched a transparent health plan 'Clearity' integrating AI assistance for members.

• MedAxiom: Cigna Approves Coverage for Cleerly's AI Cardiovascular Imaging Technology
• The Cigna Group: Human Rights Policy Statement
• Fierce Healthcare: Cigna to launch new transparent health plan called Clearity

AABC criticized Cigna’s AI-driven reimbursement policy leading to concerns over underpayments and patient care access; concurrently, Cigna expanded coverage nationwide for AI radiology imaging solutions covering 16M+ lives, reinforcing AI integration in clinical care.

• AABC: AABC Urges Cigna to Reconsider New AI Driven Reimbursement Policy
• Radiology Business: Cigna will cover CT imaging artificial intelligence software nationwide
• Cleerly Health: Cigna Approves Coverage for Cleerly's AI Cardiovascular Imaging Technology

Cigna launched an AI-powered generative virtual assistant and integrated multiple AI tools into its myCigna portal, driving notable customer engagement and improved experiences; legal scrutiny continued on AI claim denials.

• Yahoo Finance: Cigna (CI) Unveils AI-Powered Tools to Enhance Customer Experience
• Healthcare Finance News: Cigna announces AI-powered virtual assistant among digital tools
• Healthcare Dive: Cigna launches new generative AI assistant for members
• The Journal of Healthcare Contracting: Cigna Healthcare unveils AI-powered digital tools
• PPI Benefits: Court Allows Lawsuit Over AI Use in Benefit Denials to Proceed

Legal challenges intensified as law firms sued Cigna and other insurers alleging wrongful AI-based claims rejections.

• WABE: Law firm suing three major health insurance companies for wrongfully rejecting claims with AI

Cigna focused on AI applications in medication adherence monitoring, administrative burden reduction in therapy, and enforcing ethical AI governance.

• Cigna Global Expat Health Insurance: AI in health care
• Cigna Healthcare Newsroom: Digital transformation in health care: Powering precise decisions
• Cigna Global Blog: Embracing AI and Machine Learning in Health Care

Cigna continues expanding AI use cases including customer service enhancements and predictive analytics for risk management.

• PitchGrade: Cigna: AI Use Cases 2024

Cigna transformed health insurance and patient care using AI to streamline claims and faced legal actions over AI-enabled claim denials.

• AI Expert Network: Case Study: How Cigna is Transforming Health Insurance and Patient Care with AI
• Health Care Counsel Blog: Health Insurers Sued Over Use of Artificial Intelligence to Deny Claims

Cigna expanded AI applications to internal operations like recruiting and faced increased scrutiny and lawsuits over AI-driven claim denials, while reinforcing ethical AI practices through an AI Center of Enablement.

• HR Brew: How Cigna used AI to revamp its internal recruiting system
• Hatch Compliance: Cigna's Use of AI in Claims Denial: Balancing Efficiency and Fairness
• The Cigna Group Newsroom: The Cigna Group's approach to ethical AI practices

Cigna highlighted data and AI's role in improving patient outcomes, focusing on predictive analytics to enhance care quality.

• Cigna Newsroom: Cigna Uses Data and AI to Improve Patient Outcomes

Cigna expanded AI applications to identify treatment gaps, specifically monitoring patient medication adherence for chronic diseases.

• WSJ: Cigna Uses AI to Check if Patients Are Taking Their Medications

Cigna began employing AI to address major healthcare challenges, including monitoring patient medication adherence and treatment gaps in chronic diseases.

• Managed Healthcare Executive: Cigna Leverages AI
• Wall Street Journal: Cigna Uses AI to Check if Patients Are Taking Their Medications