As you know, there has been a lot of shifting in payers around the country because of the recent healthcare legislation. We received notice from PPO USA Network that they will be terminating operations effective January 2013. This does not come as a surprise but is a disappointment because they have always been very fair to providers when it comes to rates. These smaller networks really lack the financial backing to cope with the overhauls required under the Affordable Care Act (Obama Care). We are seeing a lot of consolidation and a lot of the little players being forced out of the game. This goes for insurance companies and for small physician practices.
Here is the full Press Release/Notice:
Notice of Termination of the PPO USA Network
| To: | PPO USA Network Participating Providers in the following states: | |||
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| From: | Government Employees Health Association, Inc. (GEHA) | |||
| Date: | September 2012 | |||
| Re: | PPO USA Network Termination |
GEHA has made the decision to cease operating its PPO USA Network in all states on December 31, 2012. Beginning January 1, 2013, GEHA will enter into a shared administration arrangement with UnitedHealthcare in the above states that includes access to UnitedHealthcare Options PPO physicians and hospitals.
Please check GEHA member identification cards for a new claims remittance address and helpful phone numbers for dates of service beginning January 1, 2013. You can also visit GEHA’s website at www.geha.com to find out more about the GEHA Health Plans.
If you are interested in being a preferred provider for GEHA medical members in the states listed above in 2013, you will need to participate with the UnitedHealthcare Options PPO. To find out more about joining the UnitedHealthcare Options PPO network, please call (877) 842-3210.
On behalf of the PPO USA Network Credentialing, Network Development and Provider Relations staff members, we want to thank you for partnering with us to provide PPO services to GEHA Health Plan members during the last 13 years. Please call us at (800) 821-4991, Option 1, if you need additional information or have questions about your current Participating Provider Agreement with GEHA.
For more information you can visit: http://www.ppousanetwork.com/