We have one commercial payer, United Healthcare, that is paying less than cost for the Quidel CLIA waived rapid COVID19 test. We are not using the combo test yet since.
I have written a letter to our provider rep and to contracting. The letter was ignored.
According to this article, we are not the only ones complaining.
“Doctors who have complained to UnitedHealthcare and other health plans, however, say they’ve been offered little recourse. One was told it wasn’t an issue that any other doctor had raised. Another was directed to find a supplier with a lower price.”
UHC lab reimbursement contracts is a percentage of Medicare. Which brings the reimbursement below cost. Other insurances and Medicaid are paying at a 100% of Medicare or close to it.
I have a lot of issues with UHC, and I am always told that nobody else is raising the same issues. Rather than finding resolutions, UHC tries to make us seem like we are just complainers.
Please keep me updated if you make any progress.