Chronic condition special needs plans (C-SNPs) are Medicare Advantage plans for individuals with certain chronic health conditions. Peoples Health plan members enrolled in a C-SNP must have at least one of these qualifying conditions: diabetes (excluding prediabetes),...
As a reminder, all Peoples Health plans offer a supplemental telehealth benefit for 2025, covering services beyond Original Medicare coverage. Peoples Health members pay $0 for supplemental telehealth visits, which include urgent, primary and specialist care, as well...
An annual wellness visit with your patients is a valuable way to provide excellent patient experiences.How it benefits you You get a clearer picture of your patient’s overall well-being. Ways to do that: Review current specialists and referrals. Discuss medications,...
The Centers for Medicare & Medicaid Services requires plans to offer annual training to contracted providers about special needs plans (SNPs). We encourage you to complete and attest to our SNP Model of Care Provider Training prior to engaging with our SNP...
Cultural competency can play a critical role in improving patient care. Gaining an understanding of factors such as ethnicity, social structure, language, values and faith can lead to more accurate diagnoses, personalized treatment plans and improved patient...
People ages 65 and older—such as the majority of your Peoples Health patients—are at higher risk of developing complications from the flu. And for those with chronic conditions, such as diabetes, heart disease and respiratory illnesses, the risk is even higher. We...
Encourage patients to schedule at least one annual appointment with you, and stress the importance of discussing needed tests and screenings, as well as knowing and monitoring blood pressure, blood sugar and cholesterol levels. Regular visits provide your office with...
Regularly explore the UnitedHealthcare Provider Portal—there are a host of resources, from videos and quick start guides to interactive trainings, to help you learn how to use the portal to your advantage. There’s also an extensive resource library covering many...
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 encourage you to compete and attest to our annual Special Needs Plan Model of Care Provider Training. Your participation in Peoples Health care-planning activities for your Peoples Health patients in a special needs plan will help meet quality performance...