Tag: Capitated Contracts

MINNEAPOLIS – UnitedHealthcare recently notified HME providers that it is delaying the implementation of its new capitated arrangement with Synapse Health for standard DME in Georgia and North Carolina, AAHomecare has reported.  The arrangement, which impacts the insurer’s Medicare Advantage plan members enrolled in HMO and PPO plans in the two states, will now go into effect Sept. 1 instead of Aug. 1 to allow more time for providers to familiarize themselves with new processes...

YARMOUTH, Maine – HME providers in Georgia and North Carolina are finding it hard to see the benefits of participating in a new capitated agreement between Synapse Health and UnitedHealthcare.   Synapse says providers in its network will benefit from not having to perform administrative tasks like collecting documentation and can, therefore, accept lower reimbursement.  “Is there really that much administrative cost to be made up in this that you're willing to look...

BOSTON – Sverica Capital Management, a private equity investment firm, has made a strategic investment in SG Homecare, a Tustin, Calif.-based provider of DMEPOS to patients throughout the state.  SG specializes in using capitated contracts, serving a wide range of payers and risk-bearing provider groups, acting as a value-added partner to these organizations as they seek to provide high-quality care for their home-based populations.  “After an exhaustive search for the...