We transitioned our claims processing and portal platforms to UnitedHealthcare systems at the start of this year. Thank you for your participation and willingness to work with us through the transition. We have tools available to help ensure your continued success in...
CMS introduced the phasing in of a new risk adjustment model, version 28 (V28), at the end of March 2023. The model is being phased in through 2025 and will ultimately replace model V24. Under V28, more than 2,000 diagnosis codes no longer map to a risk-adjusted HCC,...
Medicare has awarded Peoples Health a rating of 5 out of 5 stars for 2024.* We’ve been awarded this status for three years in a row, beginning in 2022. In fact, Peoples Health offers the only 5-star plans in Louisiana for 2024. We’re proud of the quality and...
We are transitioning to enhanced claims processing and provider portal platforms through UnitedHealthcare on Jan. 1, 2024.What this means The following changes are being implemented.Claims with dates of service on or after Jan. 1 will process through the...
Be assured that Peoples Health makes decisions about coverage for health care services as such: Utilization management decision-making is based only on medical necessity, appropriateness of care and services, and existence of coverage. Peoples Health does not reward...
We’ve scheduled targeted outreaches this year to our members—your Peoples Health patients—to stress the importance of certain activities, including getting needed tests and preventive screenings. We’re using three communication channels (postcards, emails and text...
Health equity exists when patients have a fair and just opportunity to be at their healthiest. Helping patients achieve health equity requires removing obstacles—including inequalities around race, ability, income, gender identity and sexual orientation—that place...
It’s widely acknowledged that social determinants of health drive medical utilization, health care costs and health outcomes. Research attributes as much as 40% of health outcomes—and up to one-third of deaths—in the U.S. to social factors.Impact for Health Care...
The Peoples Health network performance and engagement department—NP&E for short—was introduced earlier this year to enhance connections with our providers. The NP&E team functions as a conduit between People Health and your provider office or facility and...
Revisions have been made to the Peoples Health Provider Reference Guide.