We want to take a moment to thank you, our providers! We value your partnership and continued efforts to deliver consistent, quality care to our plan members. We’re pleased to share that the Centers for Medicare & Medicaid Services has once again bestowed it’s...
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...
Optum Behavioral Health, our network behavioral health provider, is seeking your feedback about the identification, treatment and referrals of patients with behavioral health disorders who are seen in the primary care setting.
The changing demographics of our country create new challenges for the provision of care. We see this occurring in our local communities. Research shows that socio-cultural differences between patients and health care professionals influence many aspects of the...
We’re pleased to launch key company initiatives around activities that can help facilitate optimal health outcomes for your Peoples Health patients.Primary care physicians can work with us on: Qualifying as a 4-star or higher provider for meeting certain quality...
We’re launching the Peoples Health 2022 physician initiatives program soon to work with primary care physicians on key company initiatives focused on activities to help facilitate optimal health outcomes for our plan members. Each initiative has a direct impact on...
Below is a list of services no longer requiring authorization:Procedure (in outpatient locations 02, 11, 19, 22, 24)Sleep study (one every 12 months)Left heart catheterPET scanCardiac rehabilitationFine needle aspiration biopsyInsulin pump suppliesEye prosthesis...
Visit our COVID-19 Updates for Providers page for the latest COVID-19 public health emergency information and related billing updates. Below are highlights of the most recent changes.PHE Extension The Secretary of Health and Human Services extended the nationwide...
We’re pleased to share exciting news—for 2022, Peoples Health HMO plans and D-SNPs earned Medicare’s highest rating for a Medicare Advantage plan—5 out of 5 stars.
Peoples Health Earns 5 Stars,Plus Medicare’s Annual Enrollment Period Is Now In time for Medicare’s annual enrollment period (AEP), which started Oct. 15 and lasts through Dec. 7, Peoples Health HMO plans and D-SNPs have earned Medicare's highest rating—5 out of 5...