Thought Leadership Resource Center for Physicians
Physician Thought Leadership Resource Center
Part of our role as a professional medical society is to be a resource provider for our members. We are fortunate to have created partnerships and alliances with organizations that seek to provide educational and support materials that can be support of our member’s efforts to provide the best in care to their clients. We encourage our members to engage with the content presented here and reach out to the providers should they wish more information and support.
Click the arrows next to each category to learn more.
DACS provides support to primary care and specialty prescribers in addressing the needs of their patients with substance use disorders and chronic pain management. All services are free and include:
- Phone consultation for clinical questions provided by expert addiction medicine specialists
- Education and training opportunities related to substance use disorders and chronic pain management
- Assistance in the identification of substance use and behavioral health resources and referrals that meet the needs of the patients in your community.
Funding for DACS is provided by The District of Columbia Government, DC Health, Health Regulation and Licensing Administration (HRLA), Pharmaceutical Control Division (PCD). DACS is administered by the University of Maryland School of Medicine staff and faculty.>
Perla is a one-stop site to help you find trusted legal, accounting and other advisors with healthcare experience for your practice. Perla offers:
* vetted, trusted advisors only
* a variety of areas of expertise (legal,
finance and banking, accounting, practice management, and more) in one place
* simple design that is free to use (for MSDC members)
* NEW: guide to physician employment agreements
The MSDC portal is open! Visit https://members.msdc.org/page/Perla (Login required)
For more information about this solution, visit PERLA.
UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams. Members must have Medicaid to enroll.
Rx4Miracles
can help relieve the “sticker shock” your patients feel each time they pay for a prescription. The Rx4Miracles Prescription Savings Card provides savings for both brand and generic medications, requires no enrollment, no income requirements
and is open to everyone. Rx4Miracles also generates funds which go back to Children's Miracle Network Hospitals to support their efforts to improve and change pediatric healthcare and its impact on kids, families, and communities.
Funds granted through our partnership with Children’s Miracle Network Hospitals help deliver specialized care, critical research, equipment, and resources necessary for hospital teams to provide life-saving care to the children
in our community.
Rx4Miracles helps uninsured and underinsured individuals afford their prescription medications. However, Rx4Miracles can also be used by individuals who have health insurance coverage with no prescription
benefits, which is common in many health savings accounts (HSA) and high deductible health plans. Additionally, individuals who have prescription coverage can use Rx4Miracles for non-covered medications.
In collaboration
with Children’s Miracle Network Hospitals we are working to save and improve the lives of as many children as possible.
Savings for you. Funds for them.
Click here to view a flyer with information.
For information on the Pfizer-BioNTech COVID-19 vaccine, see this Fact Sheet for Healthcare Providers (May 20, 2021)
We are Janssen, the Pharmaceutical companies of Johnson & Johnson. We are focused on treating and preventing some of the most complex and devastating diseases of our time in oncology, immunology, neuroscience, infectious diseases & vaccines, cardiovascular & metabolism, and pulmonary hypertension. We pursue the most promising science, wherever it might be found. Learn more at www.janssen.com.
For information about the program please contact Jeff or Cindy at 800-741-2044 or info@atlantichealthpartners.com
www.atlantichealthpartners.com
Thought leadership articles
Physician Reimbursement and Resources Under the UnitedHealthcare Dual Complete® Plan
Content provided by UnitedHealthcare Community & State District of Columbia
UnitedHealthcare will reimburse you according to the existing Medicare contracted rates for eligible and covered services. In addition, we will process necessary Medicare cost-share portions in line with Department of Health Care Finance (DHCF) cross over logic. Depending on the enrollee’s eligibility for Medicaid, we may be responsible for the management and payment of Medicaid benefits. Those Medicaid covered services will be reimbursed according to your existing Medicaid contracted rates. This means UnitedHealthcare is crossing over and processing the eligible Medicaid-covered services according to the enrollee’s benefits. You will not be required to submit a secondary claim to the Medicaid payer in this situation. At times, you may receive 2 provider remittance advices (PRAs) for services covered by both Medicare and Medicaid.
Health care professionals may not attempt to collect additional reimbursement from Medicare enrollees whose Medicaid benefits cover all Medicare cost-sharing components. These enrollees are not responsible for Medicare cost sharing under CMS regulations. Medicare cost sharing includes the deductibles, coinsurance and copays included as part of Medicare benefit plans.
Health care professional resources
- To learn more about this plan, visit UHCprovider.com/DC
- If you have questions, please call Provider Services at 1-888-350-5608 and select “Health Care Provider”
The UnitedHealthcare Community Plan care provider education and training program includes the following care provider components:
- Website
- Forums/town hall meetings
- Newsletters and bulletins
- Manual
Provider Advocates:
Provider advocates visit PCPs and specialist offices as needed. We do this to create program awareness, promote compliance, and resolve problems
If you don’t know who your provider advocate is, email northeastprteam@uhc.com. A provider advocate will get back to you.