
Labs that are designated diagnostic providers will be reimbursed at a fixed rate. Beginning July 1, diagnostic tests completed at a facility that isn't a "designated diagnostic provider" won't be covered for UnitedHealthcare's commercial health plan members. One policy is UnitedHealthcare's designated diagnostic provider program. 4 letter to acting CMS Administrator Elizabeth Richter, the AHA argued two new UnitedHealthcare policies "create significant barriers to access to necessary diagnostic and specialty pharmacy services for tens of millions of health plan enrollees." The American Hospital Association urged CMS to review new policy changes from UnitedHealthcare for diagnostic and specialty pharmacy services that the insurer says are needed to lower medical costs.

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