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Tag: UnitedHealthcare


Laura Williard

News

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...

AAHomecare, Prior Authorization, UnitedHealthcare, VGM & Associates


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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...

Crispin Teufel, Lincare, Orthotics & Prosthetics (O&P), Prior Authorization, UnitedHealthcare


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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...

Billing, Prior Authorization, UnitedHealthcare


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Also Noted

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...

Continuous Glucose Monitor (CGM), Eversense, Senseonics, UnitedHealthcare


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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....

Don Clayback, Health spending, LHC Group, NCART, Optum, UnitedHealthcare


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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...

UnitedHealthcare


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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...

CPAP Supplies, UnitedHealthcare


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Specialty Providers

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...

AAHomecare, CPAP Supplies, UnitedHealthcare


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Specialty Providers

Insulin pump decision could have chilling effect

May 27, 2016Theresa Flaherty, Managing Editor

YARMOUTH, Maine - UnitedHealthcare's recent decision to only cover insulin pumps provided by Medtronic is bad news all around, say industry stakeholders.In May, the insurance giant announced it had inked an agreement with the medical device maker to serve as exclusive provider of insulin pumps to its members.“To take away beneficiary choice over economics is not a good thing,” said Dan Gooch, owner of Pal-Med in Columbia, S.C., which offers pumps from Medtronic, Animas and Tandem. “I...

Insulin pumps, Medtronic, UnitedHealthcare


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Study: Diabetes Health Plan offers reduced costs

February 6, 2013HME News Staff

MINNEAPOLIS, Minn. - A two-year study from UnitedHealthcare found that Diabetes Health Plan (DHP) participants saw reduced costs compared to that of a control group, according to a press release. The study followed 620 people with diabetes for two years, examined their compliance with six key diabetes testing requirements, and found that healthcare costs for DHP patients rose at a 4% slower pace than that of the control group. In addition, the study found that disease management was more effective...

Diabetes, UnitedHealthcare


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