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Understanding Upcoming Reimbursement Policy Changes for UnitedHealthcare (UHC)

UnitedHealthcare (UHC) has announced upcoming significant changes that will directly impact reimbursement for routine laboratory testing. Beginning December 1, 2025, UHC will implement new reimbursement policies for Commercial, Individual Family Plans, and Medicare Advantage Plans. Per UnitedHealthcare's Reimbursement Policy Update Bulletin for September 2025 :Effective December 1, 2025, UnitedHealthcare will apply automated post-service, pre-payment policy enforcement to

By |2025-09-08T11:54:04-04:00September 8th, 2025|Categories: News|Tags: , , , , , , |0 Comments
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Medicare Advantage Laboratory Testing: The Hidden Crisis Restricting Patient Care

It is becoming clear that Medicare Advantage (MA) plans are systematically limiting access to laboratory testing through prior authorization requirements, creating a two-tiered healthcare system where beneficiaries face barriers that traditional Medicare patients never encounter. Prior authorization barriers create diagnostic delays, and the scope of this problem has exploded over the past decade. What

By |2025-07-24T16:25:49-04:00July 24th, 2025|Categories: News|Tags: , , , , |0 Comments
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