Last summer, there was news that United Healthcare was ramping up controls or penalties on doctors who ordered out-of-network test.
This year, the news is that UHC will launch a massive registry where nearly all tests from all in network labs would have to be individually registered. (Yes, for those familiar with MolDx, it reminds one of Z-codes).
I've provided some links here.
- Home page at UHC here.
- Additional home page at UHC here, includes updates on delays.
- UHC's preferred lab network page here.
- UHC page on out of network benefits (or lack of ) here.
- Explanation re: UHC from: Labcorp here.
- UHC two-pager on out of network copays and costs here.
- June 2020 article at consultancy Vachette Pathology here.
- August 17 announcement at Xifin about registry delay here.
- Two deep dive articles at Dark Report, August 2020.
I'm old enough around the lab industry to have seen many cycles of "crackdowns on labs" and "crackdowns on out of network labs" - I mean every 3-4 years for 20 years. Here is another turn of the wheel.