Categories: Uncategorized

Notice of Change to Out-of-Network Payment Hierarchy for Fully Insured Groups

BY UNITED HEALTHCARE Beginning July 1, 2017, UnitedHealthcare will discontinue shared savings programs with vendors such as MultiPlan® and First Health® throughout Arizona, Indiana, Oklahoma, and Wyoming for our new and renewing fully insured membership. We will defer to the extended and maximum non-network reimbursement programs to process non-network claims. What this Change Means
  • For clients: This change will help clients better manage rising health care costs and help decrease costly non-network utilization.
  • For clients’ members: Members of fully insured Arizona, Indiana, Oklahoma, and Wyoming-sitused groups who continue to utilize non-network providers may have a higher cost share due to the difference between the billed amount and the allowed amount.
Member Notification Impacted members with frequent non-network utilization of Shared Savings Program health plan professionals and facilities will be notified of these upcoming changes approximately 30 days prior to their renewal date. Health Plan ID Cards All impacted fully insured Arizona, Indiana, Oklahoma, and Wyoming-sitused members will received updated health plan ID cards without the Shared Savings Program logo as their group renews.   For more information, please contact your UnitedHealthcare representative.
theconners

Recent Posts

How Corporate Medicine Is Reshaping Healthcare—and What It Means for Your Employees

How Corporate Medicine Is Reshaping Healthcare—and What It Means for Your Employees. A profound shift…

2 days ago

How to Protect Your Home from Fireworks: Essential Tips for a Safe Celebration

Table of Contents ➤ Common Fireworks-Related Insurance Claims ➤ Does Homeowners Insurance Cover Fireworks Damage?…

2 weeks ago

Profit Over Patients: A System in Crisis

Profit Over Patients: A system in Crisis. Employers today are reaching a critical point in…

4 weeks ago

Beyond the Fine Print: When Benefits Strategy Meets Real-World Health Crises

Beyond the Fine Print: When Benefits Strategy Meets Real Health Crises. Every health plan can…

1 month ago

Why You Shouldn’t Keep Home and Auto Insurance Separate

Table of Contents ➤ The Downsides of Keeping Home and Auto Separate ➤ What Kind…

2 months ago

Beyond the Waiting Room: How Overwhelming Healthcare Can Affect Your Employees

Overwhelming Healthcare Can Affect Your Employees. Having access to high-quality healthcare is essential. But what…

2 months ago