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UnitedHealthcare’s New Specialty Pharmacy Policy Can Result In Reduced Payments To Hospitals

UnitedHealthCare ("United") is instituting a new policy imposing a “Requirement to Use a Specialty Pharmacy Provider for Certain Medications” (“Specialty Pharmacy Policy”) that is scheduled to take effect on April 1,...more

Recent Health Plan Practices That Are Resulting in Underpayments to Providers

Health Plans’ Use of Policies and Guidelines to Reduce Coverage and Reimbursement - A technique we have seen payers use more commonly in recent months than in the past is to unilaterally implement policies or “clinical...more

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