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 information will help Optum determine...
Each year, you play an important role in encouraging your patients to stay up to date on their vaccinations, including the influenza and COVID-19 vaccinations. Convincing patients to get vaccinated can be a tough job, but we’re here to support you. We’ve compiled...
We want to work with you to help your Peoples Health patients better manage their health. One way we do this is by offering them health evaluations at no cost through our Comprehensive Wellness Assessment Program. The assessment helps us better understand health...
We appreciate the advance care planning (ACP) discussions you have with your patients, as this remains an important and valuable service that can significantly improve the overall quality of a patient’s end-of-life care. Encourage regular discussion, at least once per...
The suspension of sequestration payments ended March 31, 2022. Sequestration is being phased in for claims with dates of service on or after April 1, 2022. Sequestration reductions are 1% through June 30, 2022, and then 2% for the remainder of the year. As a reminder,...
The OptumHealth Education training module Substance-Use Disorders in Primary Care qualifies for one CME credit and is available to take on-demand at no cost through Oct. 31, 2024. We encourage network primary care physicians to take this course to support our ongoing...
We’re quite proud that CMS rated our Peoples Health HMO plans and D-SNPs as 5-star plans for 2022.* The star rating, on a scale of 1 to 5, serves as a measure of each plan’s performance and of the quality and service the plan provides its members. The rating system...
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...
Complete Timely Post-Discharge Medication Reconciliations As a primary care physician (PCP), you play an important role in helping your patients avoid a hospital readmission. Recent data for Peoples Health patients shows that readmission rates drop by about 10% when a...
Electronic funds transfer (EFT) is a free and secure way to receive faster claim payments. This payment method utilizes electronic means, rather than paper checks, to transfer monies between parties, thus eliminating wait times for postal delays. With hurricane season...