Posted in In The Know Series, Insurance, My services

UHC buys POMCO insurance. UMR is the third-party administrative payer

In March of 2017 there were talks of UHC (UnitedHealthCare) buying POMCO, a third party insurance administrator, located in Syracuse NY.

POMCO is the largest benefit administrator for self-funded and risk management plans in the nation. They offer dental, vision and medical benefits to different types of employees in NY, both state and Westchester County employees.

POMCO had suffered a previously a loss of letting go more than 100 employees after Health Republic of NY, was forced to close by the state and federal regulators.

But lets get back to UHC buying out POMCO – UHC hopes to expand into the Central and Upstate New York areas; offering medical coverage to patients to its multi level of professionals.

UPDATE: 

IN APRIL 2017, the purchase of POMCO by the UHC was finalized! The purchase price was not disclosed.

 

Posted in In The Know Series, MIPS, MU Stage 2 and 3

CMS 126v4 measure- for year 2017

This is the first post in my “In The KNOW series”

In this episode we look at the  CMS 126v4 measure- Use of Appropriate Medications for Asthma for the Attestation year – 2017 for eligible EPs.

As per CMS FINAL Rule in October 2016- this above measure has been permanently  removed from the 2017 MIPS reporting. This decision was made based on high performance numbers and resulting minimal variation in care.