NCQA updated two HEDIS® care measures for 2025 for post-discharge mental health appointments. Follow-up care is not limited to a licensed mental health provider. Both medical providers and non-licensed mental health providers can close gaps by conducting the...
Effective July 1, 2025, there will be changes to how authorization requests are submitted through the UnitedHealthcare Provider Portal for oncology Part B drugs under the Optum Cancer Guidance Program and specialty (non-oncology) Part B drugs. The changes consolidate...
We’re conducting targeted outreaches to our plan members throughout the year to stress the importance of certain activities, including getting needed health screenings and tests. We’ve developed postcards and emails to deliver reminder messaging to those due for the...
We’ve launched initiatives for 2025, focusing on specific care aspects to facilitate optimal health outcomes for your Peoples Health patients. These include: Completing common lab work to monitor health and reduce risk of certain conditions Reducing hospital...
CMS has phased in its V28 hierarchical condition category (HCC) model and 100% of the model is in effect for 2025 dates of service for 2026 payment. The prior model, V24, has fully phased out. CMS evaluates the historical costs of health care services based on...
Annual kidney disease testing and monitoring is crucial for people with diabetes, as diabetes is the leading cause of chronic kidney disease. Yet fewer than 50% of patients with diabetes receive both eGFR and uACR tests—those recommended under the Kidney Health...
Effective Jan. 1, 2025, changes to Peoples Health plans include plan offerings, benefits and cost-sharing amounts. We continue to serve all Louisiana parishes and will administer 17 Medicare Advantage health plans in 2025. Notable changes are below. For a list of...
Socioeconomic factors such as physical environment, economic stability, community and social contexts, education, nutrition, and health care accessibility can negatively affect patient health outcomes. When possible, it’s valuable to review these factors as part of...
The Peoples Health Supportive Care Program is available to help your Peoples Health patients be active at home in addressing and managing the acute symptoms of a serious illness or condition. Our clinical team works with a patient’s primary care provider to identify...
Peoples Health has created initiatives around the activities below to help facilitate optimal health outcomes for your Peoples Health patients: Completing common lab tests—comprehensive metabolic panel, CBC panel and hemoglobin A1c test—to monitor health and reduce...