UHC: Extended Deadline for Premium Designation Program

This message is from the AMA who has worked with UHC at the national level:

UnitedHealthcare has extended the reconsideration deadline for Premium Designation Program (PDP) ratings:

  • Physicians now have until May 1 to submit reconsideration requests.
  • Physician designations will be publicly displayed on UnitedHealthcare’s consumer Web site on June 1.

Please refer to UnitedHealthcare’s information sheet for additional details about these changes.

UnitedHealthcare delayed the reconsideration deadline and public display of PDP results following physician feedback indicating that UnitedHealthcare’s group affiliation information was inaccurate or incomplete. UnitedHealthcare has corrected group affiliation data, and some physicians’ PDP ratings may have changed as a result of these updates. UnitedHealthcare guarantees that all reconsideration requests that are submitted by May 1 will be processed prior to the public display of Premium designations on June 1. UnitedHealthcare will be sending letters to physicians whose group affiliation status has changed.

The AMA appreciates UnitedHealthcare’s improved communication regarding the PDP and responsiveness to physician feedback. These positive changes show the value of the collaboration between UnitedHealthcare and organized medicine’s Physician Profiling Workgroup over the past few years. This spirit of cooperation will serve the workgroup well as it addresses other physician profiling concerns, such as attribution rules, reliability testing and lack of transparency with respect to misclassification rates. The AMA looks forward to continuing this work with UnitedHealthcare to improve physician data systems and the quality of care.

About MSNJ

Founded in 1766, the Medical Society of New Jersey is the oldest professional society in the United States. The organization and its dues-paying members are dedicated to a healthy New Jersey, working to ensure the sanctity of the physician–patient relationship. In representing all medical disciplines, MSNJ advocates for the rights of patients and physicians alike, for the delivery of the highest quality medical care. This allows response to the patients’ individual, varied needs, in an ethical and compassionate environment, in order to create a healthy Garden State and healthy citizens.

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