Tag: UnitedHealthcare
In brief: UHC’s new capitated arrangement, NCPA’s cyberattack request
May 3, 2024HME News Staff
MINNEAPOLIS – UnitedHealthcare has entered into a capitated arrangement with Synapse Health for standard DME in Georgia and North Carolina for its Medicare Advantage plan members enrolled in HMO and PPO plans.
The change, announced on UHC’s website on May 1, is effective Aug. 1.
DME providers will need to join the Synapse Health network to continue to provide standard DME for these plan members. Synapse Health will reach out to providers with details about joining...
UHC enters agreement with Synapse Health
May 2, 2024HME News Staff
MINNEAPOLIS – UnitedHealthcare has entered into a capitated arrangement with Synapse Health for standard DME in Georgia and North Carolina for its Medicare Advantage plan members enrolled in HMO and PPO plans.
The change, announced on UHC’s website on May 1, is effective Aug. 1.
DME providers will need to join the Synapse Health network to continue to provide standard DME for these plan members. Synapse Health will reach out to providers with details about joining...
Stakeholders seek details on UHC plan to eliminate some prior auths
September 1, 2023Theresa Flaherty, Managing Editor
WASHINGTON – UnitedHealthcare’s plan to reduce prior authorizations was met with skepticism by industry stakeholders who say it’s more likely a public relations move in response to increased government scrutiny.
In August, UnitedHealthcare said it would begin a two-phased approach to eliminating prior authorizations for many product codes starting Sept. 1, 2023. That’s after the Senate Homeland Security and Government Affairs Committee in May held a hearing on...
In brief: Lincare lawsuit, UnitedHealthcare prior auths, O&P finalists
August 23, 2023HME News Staff
CLEARWATER, Fla. - Lincare has filed a lawsuit in Connecticut district court against former CEO Crispin Teufel, who plans to join competitor AdaptHealth on Sept. 1, for breach of contract, breach of duty of loyalty and misappropriation of trade secrets.
Lincare seeks a temporary restraining order, preliminary and permanent injunctive relief, damages and attorney fees.
“Since defendant’s resignation, plaintiffs have uncovered evidence demonstrating that defendant used...
UnitedHealthcare drops certain prior authorizations
August 21, 2023HME News Staff
EDINA, Minn. – UnitedHealthcare says it will begin a two-phased approach to eliminating the prior authorization requirement for many procedure codes starting Sept. 1, 2023, to help reduce the administrative burden on health care professionals and their staff.
This move will reduce the payer’s overall prior authorization volume by nearly 20%.
“This is part of our comprehensive effort to simplify the health care experience for our members and network health care...
Senseonics secures coverage from UnitedHealthcare
June 5, 2023HME News Staff
GERMANTOWN, Md. – Senseonics Holdings has announced that UnitedHealthcare will begin providing coverage for the Eversense E3 CGM System effective July 1, 2023, for people with Type 1 and insulin-requiring Type 2 diabetes. "The policy update from UnitedHealthcare marks an important milestone for increased access to long-term CGM for people with diabetes,” said Tim Goodnow, PhD, president and CEO for Senseonics. “With the addition of UnitedHealthcare, we are nearing all insured adults...
In brief: Clayback to step down, health spending slows, Optum buys home care provider
April 1, 2022HME News Staff
EAST AMHERST, N.Y. – Don Clayback will step down as executive director of NCART on Sept. 30 after 13 years leading the organization.
“I am truly grateful for the opportunities I have had at NCART to help protect and improve access to CRT for people with disabilities,” said Clayback. “It has been an honor to advocate to ensure the children and adults we serve receive the highest quality equipment and supporting services they deserve to live full and independent lives....
UHC updates policy guidance
April 9, 2020HME News Staff
MINNETONKA, Minn. - UnitedHealthCare has released new guidance for HME providers as they respond to the COVID-19 outbreak, according to AAHomecare.
The new guidance, posted on its website, applies to Medicare Advantage, Medicaid, and individual and group market health plan members, for dates of delivery from March 31, 2020-May 31, 2020.
Changes include:
For all COVID-19 discharges to home-based care requiring a respiratory assist device or a ventilator, the vendor can deliver on notification only...
CPAP denials done in error, UnitedHealthcare says
May 15, 2019HME News Staff
MINNEAPOLIS, Minn. - Recent confusion about whether or not UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer. Providers in April received letters stating the insurer would not pay for “essential” supplies during the rental period for a CPAP device. “We have not made any changes to our reimbursement policy for CPAP/PAP supplies,” said Tracey Lempner, director of communications.“We did discover that a CPAP code was incorrectly...
Claim denials in error, says UnitedHealthcare
May 3, 2019Theresa Flaherty, Managing Editor
Editor's note: This story has been updated.MINNEAPOLIS, Minn. - Recent confusion about whether UnitedHealthcare would pay for certain CPAP supplies was the result of a systems error, says the payer.Providers in April received letters stating the insurer would not pay for “essential” supplies during the rental period for a CPAP device.“We have not made any changes to our reimbursement policy for CPAP/PAP supplies,” said Tracey Lempner, director of communications. “We...