Tagged with UHC United Healthcare

Study Shows Surprise Medical Bills due to Excess Charges

Consumer Reports found 30% of patients with private insurance received a “surprise” medical bill from 2014 through 2015. According to a recent JAMA study, this is most likely due to the large number of physicians providing out-of-network services to a patient at an in-network facility and billing patients for the costs beyond what insurance will pay.

UHC Announces Plans to Cut MPPR Discount Rate

In response to persistent efforts by radiology advocates, UnitedHealthcare says, in November, it will announce its plans to reduce its multiple procedure payment reduction (MPPR) rate for the professional component (PC) of advanced imaging services from the current 25% to 5% on January 1, 2017.

Ohio’s Managed Healthcare Plan Report Card Shows Scores of Average or Better

Ohio Medicaid officials released the state’s second annual report card of managed-care plans last month, with outcomes showing all five managed care plans scored average or better for how happy patients were with their doctors and how well they communicated and involved them in decisions about their care.

UHC will Require CLIA Number on Laboratory Claims

Effective November 1, for participating providers and August 1, for non-participating providers, UnitedHealthcare will require CLIA Number on Laboratory Claims submitted on a CMS 1500 form or HIPAA 5010 837 P file.

IL – Proposed 2017 ACA Premium Increases

Blue Cross Blue Shield of Illinois’ proposed exchange premiums for 2017 seeks range from +23% to +45% for its individual health-care plans in the Affordable Care Act marketplace.