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Thank-you for this information, Number9. I have an appointment tomorrow related to UHC Medicare Advantage. You have helped me be better prepared.
-Allen
UHC Drops Doctors Off Medadvantage
- Thread starter number9
- Start date
Thank-you for this information, Number9. I have an appointment tomorrow related to UHC Medicare Advantage. You have helped me be better prepared.
-Allen
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Well, I must be living in a dreamworld.
CIP, which got bought out by UHC, is not cutting docs. In fact, the last 4 specialists, and the two GI's I've contacted, are accepting CIP/UHC billing.
That is true, oddly enough, with Resurgents and Laureate Medical Group. These two groups usually don't participate in Medicare Advantage, but both billing departments confirmed they DO work with CIP/UHC.
Like I said, maybe life is different here in the ATL.
CIP, which got bought out by UHC, is not cutting docs. In fact, the last 4 specialists, and the two GI's I've contacted, are accepting CIP/UHC billing.
That is true, oddly enough, with Resurgents and Laureate Medical Group. These two groups usually don't participate in Medicare Advantage, but both billing departments confirmed they DO work with CIP/UHC.
Like I said, maybe life is different here in the ATL.
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Can't comment on life being different, but now that I've met you, I can indeed say that at least some of the people living there are indeed "different."Like I said, maybe life is different here in the ATL.
Rick
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I may be wrong but UHC announced that star ratings were dropped on certain plans in different areas last month. NC plans were not supposedly affected. Maybe it is in those areas where they are dropping providers? Anyone know yet of the 10 states the article mentions? I have a call in to my IMO to find out if this area is affected. Will update if I can get the info.
- Thread starter
- #16
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This may be spin from UHC. The 3.3% increase that they are suppose to receive from the government in 2014 is that enough to cover the cost of inflation (medical) cost of new benefits closing the donut hole etc, the cost of the new regulations, cost of taxes and fees imposed by the ACA?
No one can explain how doctors, who accept in-network rates, hurt UHC's costs to make them take this step.
Doctors didn't drop UHC, UHC dropped doctors.
UHC has other motives and is just using Obamacare as an excuse for getting out of states like Florida with MAPD>
Doctors didn't drop UHC, UHC dropped doctors.
UHC has other motives and is just using Obamacare as an excuse for getting out of states like Florida with MAPD>
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I spoke with a UHC rep today. He told me star ratings are the cause. Meaning that providers are rated individually somehow(not sure how). But carriers are concerned about star ratings for 2015 because of the reimbersement from medicare. Reimbursement is supposedly being cut(cavitation rates?) for any carriers with less then a 4 star rating at that time. He tells me this is part of the ACA.
So if providers are pulling down ratings they are being dropped. He says expect more of it.. also from other carriers. Evidently if a company is not at 4 star by 2015 their reimbursement is pretty bad.
So if providers are pulling down ratings they are being dropped. He says expect more of it.. also from other carriers. Evidently if a company is not at 4 star by 2015 their reimbursement is pretty bad.
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100% pure, unadulterated, USDA Prime BS. But, what would you expect from a carrier "rep"? Surely you're not dumb enough to think they're objective?
