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Premium Methodology

WEBThe UnitedHealth Premium® program designates physicians based on safe, timely, effective and efficient quality care criteria. This designation may be used by members to …

Actived: 4 days ago

URL: https://unitedhealthpremium.uhc.com/premium-methodology/Overview

UnitedHealth Premium program

WEBActual allowed costs are the amounts paid by the health plan and the patient to the health care professional. The patient total cost measure uses claims submitted and processed …

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UnitedHealth Premium program evaluation results

WEBOxford Health Plans (NJ), Oxford Health Plans (CT), Inc., All Savers Insurance Company, Tufts Health Freedom Insurance Company or other affiliates. Administrative services …

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Premium Methodology

WEBDownload the Premium Program Version 16 Methodology. View quality and cost conditions, measures and procedures by Premium specialty. See more detailed information about …

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UnitedHealth Premium program Patient total cost

WEBThe information from the UnitedHealth Premium program is not an endorsement of a particular physician or health care professional’s suitability for the health care needs of …

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Premium Methodology

WEBThe UnitedHealth Premium reconsideration process provides physicians and their approved delegates an opportunity to request a correction or change to certain information …

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UnitedHealth Premium program

WEBor UnitedHealthcare Community Plan health plans (excluding members enrolled in a long-term care plan). We exclude patients who are dual-eligible for Medicare and Medicaid. …

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Help and Support

WEBBrowse Premium program support and training documents below, including videos, how-to guides and other materials about the program and using our website.

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Help and Support

WEBWhy does the program use health care claims data to measure quality and cost efficiency? 11. If my fee schedule is high, will it affect my cost efficiency results? 12. How is the Per …

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UnitedHealth Premium program Quality performance …

WEBPCA-1-23-01976-UHN-LYR06202023 Use this document with the UnitedHealth Premium® program methodology document at UnitedHealthPremium.uhc.com. Please review all …

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UnitedHealth Premium program Attribution methods

WEBThe information from the UnitedHealth Premium program is not an endorsement of a particular physician or health care professional’s suitability for the health care needs of …

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Help and Support

WEBIf you have questions or have feedback regarding the UnitedHealth Premium program, please complete this form.. We evaluate all feedback for potential incorporation into our …

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UnitedHealth Premium program Patient episode cost

WEBAs a result, ETG separates and identifies concurrent conditions and assigns each health care service to the clinically appropriate episode. ETG tracks and adjusts for changes in …

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UnitedHealth Premium program Patient total cost

WEBPCA-1-23-01977-UHN-LR0202023 Use this document with the UnitedHealth Premium® program methodology document at UnitedHealthPremium.uhc.com. Please review all …

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Help and Support

WEB1. How do I contact the Premium program? Important Program Notes; Privacy Policy; Terms of Use; Copyright @ 2023 UnitedHealth Group, Incorporated. All rights reserved.

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UnitedHealth Premium program statistical tests

WEBHealth Plans LLC, United HealthCare Services, Inc., Tufts Health Freedom Insurance Company or other affiliates. Behavioral health products provided by U.S. Behavioral …

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UnitedHealth Premium Program Version 14 methodology

WEBbased on health plan claims data determine which physicians are responsible for care given to patients. When there are a sufficient number of quality measures attributed, the …

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UnitedHealth Premium Program cost outliers

WEBThe information from the UnitedHealth Premium program is not an endorsement of a particular physician or health care professional’s suitability for the health care needs of …

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Help and Support

WEB3. Will you still accept reconsiderations after the due date? Can I submit a reconsideration request after my designation is available to members?

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Credentialed Specialties Include: Cardiac Diagnostic, …

WEBAttribution methods determine which physicians and groups are responsible for care given to patients. Patient episode cost measurement uses the cost-attribution method for …

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UnitedHealth Premium Program Designation description and …

WEBThe information from the UnitedHealth Premium program is not an endorsement of a particular physician or health care professional’s suitability for the health care needs of …

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