Tag: UnitedHealthcare
In brief: UHC delays Synapse agreement, NCPA files cyberattack lawsuit & more
July 24, 2024HME News Staff
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...
UHC delays Synapse arrangement
July 22, 2024HME News Staff
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...
Providers: ‘It never seems to really work out in our favor’
May 31, 2024Theresa Flaherty, Managing Editor
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...
Synapse Health: ‘There’s something in this for everyone’
May 17, 2024Theresa Flaherty, Managing Editor
EVANSTON, Ill. – Synapse Health’s Tony Kilgore hopes his background in DME will offer some reassurance to reluctant providers as the company implements its new capitated agreement with UnitedHealthcare.
The agreement, for standard DME in Georgia and North Carolina for UHC’s Medicare Advantage plan members enrolled in HMO and PPO plan, was announced May 1 and takes effect Aug.1.
“We're all from the industry, we've walked in the shoes, we've...
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...