🧵UHC modifies laboratory designated diagnostic provider (DDP) program
AMA, many state medical associations, & national medical specialty societies expressed strong concerns about the DDP’s impact on physician practices & patients. In response to this advocacy, UHC made changes.
AMA, many state medical associations, & national medical specialty societies expressed strong concerns about the DDP’s impact on physician practices & patients. In response to this advocacy, UHC made changes.
2/ Earlier this year, United Healthcare (UHC) announced the launch of its Designated Diagnostic Provider (DDP) program for laboratory services. To qualify as a DDP, a laboratory must meet certain quality and efficiency (i.e., cost) requirements.
3/ UHC initially presented the DDP as a strict covered/not covered benefit design, under which patients receiving services from a non-DDP laboratory would be responsible for the full cost of the test(s)—even if the lab was in network.
4/ The @AmerMedicalAssn, along with many state medical associations and national medical specialty societies, expressed strong concerns about the DDP program’s impact on both physician practices and patients. #OurAMA
5/ In response to this advocacy by @AmerMedicalAssn, along with many state medical associations and national medical specialty societies, UHC changed the DDP program benefit design to a tier-based system and UHC patients will pay lower cost shares for labs performed by DDPs.
6/ UHC also launched extensive educational outreach to both physicians and patients about the DDP program after numerous complaints regarding the poorly communicated rollout.
7/ @AmerMedicalAssn will continue to monitor the DDP program, which went “live” in certain states effective July 1, and advocate for changes that will minimize practice administrative burdens and ensure patient access to laboratory services.
8/ For more info about UHC’s DDP program, please see: uhcprovider.com/en/reports-qua…
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