Payer Actions to Reduce Low-Value Care BREAKING NEWS
Last week, the United States Office of Personnel Management and the Military Health System released publications that encourage payers to reduce low-value care. Read more below.
In a recent FEHB Program Carrier Letter, the U.S. Office of Personnel Management Healthcare and Insurance instructs carriers not to cover USPSTF D-rated services as preventive benefits in 2022.
In the April 2021 Reimbursement Manual, the TRICARE program calls on contractors to efficiently and effectively manage low-value medical interventions and take financial risk for the provision of specified low-value medical interventions.