Forecast Ledgerinterventional psychiatry and psychedelic medicineQuoted, dated predictions scored against public outcomes under one written method. Every score links to the words, the rule and the evidence.

Pending · due 2 Apr 2027

Rules 1.1.0 · as of 14 Sep 2026

Quote

“Once the extremely predictable lawsuit happens, I can go to discovery, find this article in an inbox, find the proof that it was opened, and then prove that they knew this was a problem well before my lawsuit.”
· Cigna Unveils National Coverage Policy for Adolescent Depression Including TMS! · substack post

The author speaks in the voice of a hypothetical class-action ERISA attorney who forwards this article to insurers; he calls a lawsuit over the adolescent TMS coverage requirement extremely predictable.

Intake

EventA proposition written from a template on the asset, with a resolution criterion and a named public source, before the outcome is looked up. The same event resolves every person's items on it. Method ›
Lawsuit filed over the Cigna/Evernorth adolescent TMS coverage policy
AreaOne of five topic classes: regulatory decisions, clinical trial outcomes, company and market outcomes, payer and policy, practice adoption. Every event has one area. Method ›
Payer and policy
DeadlineThe date by which the event must happen for the item to be true. It comes only from the person's words through the anchor table. Method ›
None stated · undated panelItems with no deadline in the person's words, scored on a uniform 24-month window from the statement date. Part of the headline panel since rules 1.1.0; also shown on its own. Method ›, 24-month window to 2 Apr 2027
Probability
0.90 LexiconThe fixed five-bin table that turns a phrase into a probability. The strongest phrase in the claim sentence decides; coders never read tone. Method › · binOne of five lexicon steps: A 'will' 0.90, B 'probably' 0.70, C 'may' 0.50, D 'unlikely' 0.30, E 'never' 0.10. A stated number goes to the nearest bin for calibration only. Method › A · “Once the extremely predictable lawsuit happens”
Base rateThe probability a published external study gives an event of that class and stage, fixed at intake. Halved when the item window is shorter than the class median time to decision. Never learned from the ledger's own items. Method ›
None in the table
Tags
retrospective
Coder BCohen's kappa: agreement between two coders beyond chance, from -1 to 1. Reported for admit, event, deadline, bin and asserts from the second-coder match test. Method ›
admittedA statement that passed intake: sincere, the person's own claim, forward-looking, inside the five areas, and not excluded by a reason code. Only admitted statements become items. Method › · event E-0036 · deadline none · bin A
Registry entry

A lawsuit is filed in a US court against Cigna or Evernorth that challenges, or alleges harm from, the adolescent TMS coverage policy's requirement of prior antidepressant trials.

TRUE on the docket date of the first complaint filed in a US federal or state court (CourtListener or PACER; the state court docket when filed in state court) that names Cigna, Evernorth or a Cigna health plan as a defendant and that challenges, or alleges harm from, the adolescent TMS coverage policy's requirement of prior antidepressant trials (medication failure) for adolescents. A regulatory complaint, a demand letter, an internal appeal or an external review request is not a lawsuit. The plaintiff type (parent, patient, class) and the cause of action (ERISA or state law) are not restricted. FALSE when no such complaint has been filed by the deadline.

Resolution source: Court dockets (CourtListener, PACER; state court dockets)

Readings: 'Such a legal matter', 'the extremely predictable lawsuit', 'parent lawsuits' and the ERISA fiduciary-breach remarks in the same post all read as litigation against Cigna or Evernorth over the adolescent TMS coverage policy; the first such complaint resolves the event.; 'A series of ... parent lawsuits' (owen-1700-a) resolves on the first lawsuit; the count is not scored.

How to read
The event, criterion and deadline were written at intake, before the outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method › was looked up. Coder B coded the statement independently.

Coder A

Resolution

State
PendingAn item whose deadline has not passed. Counted, never scored. Method ›
Effective deadlineAn item enters the score only when its deadline has passed and the outcome is true or false. A claim already known true still waits for its deadline. Method ›
2 Apr 2027
Outcome1 if the registry event happened on or before the item's deadline, 0 if it did not. Written by a resolver who never sees p. Method ›
not occurred · checked through 13 Sep 2026
Resolver note
Checked CourtListener RECAP for complaints naming Cigna or Evernorth with 'transcranial magnetic stimulation' filed on or after 2025-01-01: none. A case-name search for Cigna/Evernorth suits mentioning adolescents or minors and depression since 2025 returned five anonymised ERISA dockets (D. Conn., D. Utah, S.D.N.Y., E.D. Cal.) with no TMS reference in their indexed text. The Greenwood v. Cigna/Evernorth class action (filed 2025-08-22) concerns residential mental-health treatment criteria, not TMS. No news report of a complaint over the adolescent TMS antidepressant-trial requirement was found; the only TMS suit against Cigna located is Weil (filed 2015, settled 2017), which predates the policy. Cigna's EN0383 policy still carries the requirement (see E-0037). Not occurred as of 2026-09-13; state-court dockets outside RECAP could not be searched exhaustively.
BrierThe squared gap between a probability and the outcome, (p - o)^2. 0 is perfect, 0.25 is the constant coin flip, 1 is confidently wrong. Lower is better. Method ›
Not scored
RestatementsAll of one person's items on one registry event. A cluster is one observation in every metric, so a claim repeated six times still gets one vote. Method ›
owen-1696owen-1700
How to read
State at window close; the outcome comes from the registry, the score from the rule.

Registry

Timeline

1 claim against 17 events in the field.

saiddueevent
15 May 2025 · DOL, HHS and Treasury: Departments announce they will not enforce the 2024 MHPAEA final rule's new requ11 Jun 2025 · Texas Governor Abbott: Governor signs SB 2308 committing $50M in state matching funds for a consortium 1 Oct 2025 · CMS / Congress: Medicare telehealth flexibilities lapse with the government shutdown; pre-pandemCMS / CONGRESS: MEDICARE TELEHEALTH FLEXIBILITIES LAPSE WITH THE GOVERNMENT SHUTDOWN; PRE-PANDEM3 Nov 2025 · Department of Veterans Affairs: VA expands psychedelic research to nine VA facilities studying MDMA and psilocyb5 Nov 2025 · CMS: CY2026 PFS final rule published: in-person visit within 12 months required for t12 Nov 2025 · Congress / President Trump: H.R. 5371 signed, ending the shutdown and restoring Medicare telehealth flexibil24 Nov 2025 · Magnus Medical (SAINT): CMS OPPS final rule keeps 2026 hospital outpatient payment stable for SAINT neur4 Dec 2025 · Sens. Booker and Paul; Reps. Dean and Mace: Freedom to Heal Act introduced to require a DEA registration pathway for physici15 Jan 2026 · Texas HHSC: UTHealth Houston-led IMPACT consortium (UTMB, Dell Med, Baylor and others) named5 Feb 2026 · Congress / President Trump: FY2026 appropriations package signed, extending Medicare telehealth flexibilitie30 Mar 2026 · DOL, HHS and Treasury: In an ERIC v. DOL status report, the departments say they will no longer defend 31 Mar 2026 · Texas Lt. Gov. Patrick and Speaker Burrows: Texas announces it will fund the $50M ibogaine trials itself through in-state in30 Jun 2026 · Reps. Luttrell, Correa, Bergman and McCaul: IBOGAINE Act (H.R. 9559) introduced in the House to advance ibogaine research an13 Jul 2026 · VA, HHS and FDA: VA signs memoranda of understanding with HHS and FDA to expand psychedelic trial14 Jul 2026 · HRSA: HRSA issues a request for information on training and care-delivery models for s22 Jul 2026 · U.S. House of Representatives: House passes FY2027 NDAA amendments extending DoD psychedelic clinical trials th7 Aug 2026 · VA Secretary Doug Collins: Collins says ibogaine is the VA's next psychedelic research focus during a SeattLAWSUIT FILED OVE…Lawsuit filed over the Cigna/Evernorth adolescent TMS coverage policy · stated 2 Apr 2025Lawsuit filed over the Cigna/Evernorth adolescent TMS coverage policy · restated 2 Apr 2025 · p 90%Lawsuit filed over the Cigna/Evernorth adolescent TMS coverage policy · restated 2 Apr 2025 · p 90%Lawsuit filed over the Cigna/Evernorth adolescent TMS coverage policy · restated 2 Apr 2025 · p 90%TODAY20262027

Payer and policy