They can receive direct payments through various “tracks” based on the level of capitation. Plans may pay fee-for-service for all direct patient care services, or they might take a hybrid approach and pay a prospective, per-member per-month payment for some services, such as eva...
The drugs listed in this PDLare intended to provide sufficient options to treatpatients who require treatment with a drug fromthat pharmacologic or therapeutic class. The drugs listed in the UnitedHealthcare Community PlanPDL have been reviewed and approved by thePharmacy and Therapeutics Committee. ...