Effective Jan. 1, 2026, changes to Peoples Health plans include benefits and cost-sharing amounts. We continue to serve all Louisiana parishes and administer 17 Medicare Advantage health plans. Review 2026 benefits and costs through the UnitedHealthcare Provider...
Preventive health checklists to identify gaps In our ongoing commitment to improving health outcomes, we’re sending all our members a checklist of generally recommended care to help them take actionable steps to address preventive care needs in early 2026. We...
A variety of toolkits are available on Optum’s providerexpress.com to help you address the behavioral health needs of your older adult patients. These include but are not limited to: Screening tools for depression and anxiety, bipolar disorder, substance use disorder,...
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...