Tag: United Healthcare
United Healthcare extends suspension of prior auths
January 13, 2021HME News Staff
MINNEAPOLIS – United Healthcare will extend the temporary suspension of certain prior authorization requirements for in-network hospitals and skilled nursing facilities through Jan. 31, AAHomecare reports. They were originally set to expire Jan. 8. The suspensions include COVID-19 oxygen-related requests. In those cases, oxygen can be delivered without a prior auth and does not need to meet current clinical criteria. UCH also noted that it may perform retrospective reviews for services...
In brief: CMS details capacity, UHC admits error, VGM opens invite
May 17, 2019HME News Staff
WASHINGTON - CMS will use a bidder's estimated capacity—or their historic capacity plus their projected increase in capacity—along with their bid amount, to rank bids, reports the coalition behind www.dmecbpeducation.com. “(CMS's) newly released capacity policy shows how influential a bidder's capacity is to setting the rate,” said Mark Higley, vice president of regulatory affairs for the VGM Group. “While CMS does not guarantee volume, bidders who overestimate...
By choice or necessity
April 21, 2016Liz Beaulieu, Editor
Managing Editor Theresa and I were talking yesterday about the news that United Healthcare will be pulling out of the Obamacare exchanges in all but a handful of states.
The reason: The health insurance giant is losing money in the health exchanges. Just how much money? Oh, an expected $650 million this year alone.
There's obviously a lot of buzz about this news in the mainstream media, but Theresa and I were scratching our heads over whether or not there's an angle for our little niche-y publication.
We...
United Healthcare and the nationals
September 1, 2011Liz Beaulieu, Editor
Two providers, now, have asked me whether United Healthcare, as part of its new clinical policies for testing and treating patients with obstructive sleep apnea, has contracted with four national providers to provide APAP devices.
It appears, yes...and no.
I haven't talked to anyone at United Healthcare (and I doubt I'd get anywhere if I tried), but I do have a copy of the bulletin it sent out to its physicians notifying them of the new policies and its contract with VirtuOx to perform...