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American Association of Hip and Knee Surgeons

Advocacy, Education, Research

Meeting with Cigna on Precertification

On December 10, AAHKS President Jay R. Lieberman, MD and Executive Director Mike Zarski met with representatives of Cigna and eviCore, the utilization review company that is managing Cigna’s new precertification program for THA and TKA. Also in attendance were David S. Jevsevar, MD who represented AAOS, along with AAOS staff.

Dr. Jevsevar presented the Academy’s CPG and AUC work, and took them through the new OrthoGuidelines site. Dr. Lieberman, who also spoke for The Hip Society and The Knee Society, discussed AAHKS’ concerns with Cigna’s program as previously expressed in written communications.

Following the meeting, Cigna pledged to provide a formal written response the issues raised by AAHKS including the analysis by the AAHKS Evidence Based Medicine Committee. All participants agreed to reconvene in approximately two months. In the meantime, anyone needing assistance navigating the Cigna program or who would like to provide feedback on their experience is invited to contact Mike Zarski at AAHKS.

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