UnitedHealthcare Changes Lactation Counseling Reimbursement Policy
UnitedHealthcare is revising its reimbursement methodology for lactation counseling services, a change that is expected to reduce payment rates for many providers. The policy modification affects how the nation's largest health insurer compensates lactation consultants and counselors who provide services to new mothers. The timing and specific payment methodology changes were not detailed in available reporting. The adjustment comes as maternal health services remain under scrutiny, particularly given federal emphasis on improving maternal health outcomes and access to postpartum care.
Medicaid MCOs that contract with UnitedHealthcare or follow commercial market reimbursement trends may face provider network disruptions if lactation counselors drop contracts due to reduced payment, potentially affecting compliance with maternal health access standards and HEDIS perinatal care measures.
Maternal · Managed Care
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