More affordable procedure costs, shorter wait times, higher quality. Everyone wants these things from their health care experience. UnitedHealthcare is providing more value for members through improved lab services, driven by the company’s Triple Aim focus — improving health care affordability, outcomes and the patient experience.
Laboratory services are often the starting point for any medical procedure. During a doctor’s visit, a physician will recommend lab work about 50% of the time. These tests might include blood work like a complete blood count or a thyroid panel. It may also include biopsy results or a genetic test, which also happen in a lab. When a physician orders these tests, labs are often selected based on habit or historical practice and the physician may not realize there could be a more affordable, higher quality option to offer their patients.
UnitedHealthcare is working to make it easier to identify and choose lab providers who have committed to the Triple Aim within its broad network of more than 300 labs nationwide. Through the newly established Preferred Laboratory Network (PLN), which launches July 1, 2019, physicians and their patients are likely to receive better health care value through improved access, quality and service at a lower cost. The creation of the PLN is an advanced way to work with selected lab providers to deliver care that places a greater emphasis on patient outcomes and the total cost of a person’s care.
UnitedHealthcare has selected the following labs to participate in its PLN: AmeriPath/DermPath, BioReference, GeneDx, Invitae, LabCorp, Mayo Clinic Laboratories and Quest Diagnostics. These labs were selected based on a rigorous quality review process. Those participating in the PLN will be designated in UnitedHealthcare’s provider directories. All of the participants in the PLN will be measured quarterly on their performance.
How it impacts members and physicians
There is no change in lab access for members. Members can still use a lab that is not in the PLN. However, choosing a lab in the PLN may lead to shorter wait times for services, online scheduling for patient service centers and higher quality of care. Services accessed through the PLN are at a lower average cost than other lab providers.
We expect physicians who refer to labs in the PLN to notice prompt turn-around times for lab results, ease-of-use when ordering labs electronically as well as easy access to physician-to-lab medical director consultations to support patient care. They will not need to do anything different to access services from these providers.
Please contact your UnitedHealthcare representative for more information.