Tagged with UHC United Healthcare
Two separate studies investigated why consumers respond to high-deductible plans by using less healthcare services, which in turn leads to a decrease in doctor visits and clinical laboratory test orders.
The U.S. Justice Department recently disclosed that there will be an investigation into four more major health insurers as part of a False Claims Act lawsuit filed against UnitedHealth Group in 2011.
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.
Highmark confirms it will not sell plans to residents of York, PA on the federal health insurance marketplace on the 2017 Pennsylvania health insurance exchange.
CMS has announced a temporary freeze on new proposals from health insurance companies pursuing automatic enrollment of commercial or Medicaid patients into Medicare Advantage plans.
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 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.
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.
UHC Adopts CMS MPPR Multiple Procedure Policy for Codes with Relative Value of 0. Means payment reductions starting in 4Q.
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.