Timeline provided to restore key Change
Healthcare systems
Additional funding support for providers most
impacted
Actions to support patients
UnitedHealth Group continues to make substantial progress in
mitigating the impact to consumers and care providers of the
unprecedented cyberattack on the U.S. health system and the Change
Healthcare claims and payment infrastructure. Our focus has been on
ensuring access to care and medications by addressing challenges to
pharmacy, medical claims and payment systems targeted by the
attack.
“We are committed to providing relief for people affected by
this malicious attack on the U.S. health system,” said Andrew
Witty, CEO of UnitedHealth Group. “All of us at UnitedHealth Group
feel a deep sense of responsibility for recovery and are working
tirelessly to ensure that providers can care for their patients and
run their practices, and that patients can get their medications.
We’re determined to make this right as fast as possible.”
Based on our ongoing investigation, there is no indication that
any other UnitedHealth Group systems have been affected by this
attack.
To address the needs of our customers, the company is announcing
the following immediate actions:
Timeline to Restore Change Healthcare Systems
We are working aggressively on the restoration of our systems
and services. Assuming we continue at our current rate of progress,
we expect our key system functionality to be restored and available
on the following timelines:
- Pharmacy services: Electronic prescribing is now fully
functional with claim submission and payment transmission also
available as of today. We have taken action to make sure patients
can access their medicines in the meantime, including Optum Rx
pharmacies sending members their medications based on the date
needed.
- Payments platform: Electronic payment functionality will
be available for connection beginning March 15.
- Medical claims: We expect to begin testing and
reestablish connectivity to our claims network and software on
March 18, restoring service through that week.
While we work to restore these systems, we strongly recommend
our provider and payer clients use the applicable workarounds we
have established—in particular, using our new iEDI claim submission
system in the interest of system redundancy given the current
environment.
Continued Funding Support for Community-Based
Providers
On March 1, Optum launched a Temporary Funding Assistance
Program to help bridge the gap in short-term cash flow needs for
providers who received payments from payers that were processed by
Change Healthcare.
UnitedHealthcare will provide further funding solutions for its
provider partners. This applies to medical, dental and vision
providers and will involve advancing funds each week representing
the difference between their historical payment levels and the
payment levels post attack. Advances will not need to be repaid
until claims flows have fully resumed. Providers must complete a
one-time registration to access funding.
We urge all payers to do the same as this is the fastest, most
efficient way to address provider short-term cash flow needs.
UnitedHealthcare does not have visibility to the extent of business
interruption for each provider; therefore, it is necessary for
other payers to participate in a similar manner.
We recognize these programs will not work for everyone. Beyond
UnitedHealthcare’s provider funding relief, Optum is expanding its
funding program to include providers who have exhausted all
available connection options, and who work with a payer who has
opted not to advance funds to providers during the period when
Change Healthcare systems remain down.
This expansion is a funding mechanism of last resort, especially
for small and regional providers, and will be evaluated on a
case-by-case basis. An Optum Pay account is required to complete
registration and to receive funds and repay funds. Use your
existing Optum Pay account or sign up for Optum Pay to login.
For those who receive funding support, there are no fees,
interest or other associated costs with the assistance. For
repayment, providers will receive an invoice once standard payment
operations resume and will have 30 days to return the funds.
These terms now apply to both the original and expanded funding
programs.
To determine eligibility and funding amount, please register for
the program at the website: www.optum.com/temporaryfunding.
Additional Consumer Actions
For Medicare Advantage plans, including Dual Special Needs
Plans, we are temporarily suspending prior authorizations for most
outpatient services except for Durable Medical Equipment, cosmetic
procedures and Part B step therapies. We also are temporarily
suspending utilization review for MA inpatient admissions.
For Medicare Part D pharmacy benefits, we are temporarily
suspending drug formulary exception review processes.
These actions will remain in place until March 31. We will work
with state Medicaid agencies on any actions they wish to
implement.
Prescription Support
As of today, all major pharmacy claims and payment systems are
back up and functioning. We have taken action to make sure patients
can access their medicines in the meantime, including Optum Rx
pharmacies sending members their medications based on the date
needed.
Additionally, recognizing that we were asking pharmacies to take
action to help patients, Optum Rx PBM notified network pharmacy
partners and pharmacy associations that we would reimburse all
appropriate pharmacy claims filled with the good faith
understanding that a medication would be covered. We continue to
focus on those remaining areas of pharmacy disruption, including
specialty coupon programs and certain claims for infusion
providers.
For more information and access to all solutions provided by
UnitedHealth Group, visit
http://www.uhg.com/changehealthcarecyberresponse.
The company expects to exclude the principal impacts arising as
a result of the cyberattack from adjusted earnings.
About UnitedHealth Group
UnitedHealth Group (NYSE: UNH) is a health care and well-being
company with a mission to help people live healthier lives and help
make the health system work better for everyone through two
distinct and complementary businesses. Optum delivers care aided by
technology and data, empowering people, partners and providers with
the guidance and tools they need to achieve better health.
UnitedHealthcare offers a full range of health benefits, enabling
affordable coverage, simplifying the health care experience and
delivering access to high-quality care. Visit UnitedHealth Group at
www.unitedhealthgroup.com and follow UnitedHealth Group on
LinkedIn.
Forward-Looking Statements
This press release contains “forward-looking statements” which
are intended to take advantage of the “safe harbor” provisions of
the federal securities law. The words “believe,” “expect,”
“intend,” “estimate,” “anticipate,” “forecast,” “outlook,” “plan,”
“project,” “should” and similar expressions identify
forward-looking statements. These forward-looking statements are
based on management’s current expectations and assumptions;
however, by their nature, forward-looking statements are subject to
risks, uncertainties and assumptions that are difficult to predict
or quantify. You should not place undue reliance on forward-looking
statements, which speak only as of the date they are made. Certain
important factors that could cause actual results to differ,
possibly materially, from expectations or estimates reflected in
such forward-looking statements can be found in the “Risk Factors”
and “Forward-Looking Statements” sections included in UnitedHealth
Group’s annual reports on Form 10-K and quarterly reports on Form
10-Q. We do not undertake to update or revise any forward-looking
statements, except as required by law.
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Tyler Mason 424.333.6122 Tyler.Mason@uhg.com
UnitedHealth (NYSE:UNH)
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