Education event

Webinar Recording
COVID-19 and HRSA: Coverage for Uninsured Patients

Program originally recorded Aug. 7, 2020.

Recording

Overview

In early April, the Health Resources and Service Administration (HRSA) developed the COVID-19 Uninsured Program to provide claims reimbursement for testing and treatment of individuals with COVID-19.

The program is intended to provide coverage for patients with a COVID-19 diagnosis who do not qualify for Medi-Cal, Medicare or other health care insurers.

Join us to hear representatives from the program administrator, UnitedHealth Group, explain the steps to program participation, how to determine patient eligibility and the process for claims submission and reimbursement.

    Who should participate
    Chief Financial Officers, Directors of Managed Care, Patient Financial Services, Admissions

    Agenda

    How the program works

    • Providers and program participation acknowledgment
    • Determining eligibility
    • What’s covered — testing services
    • What’s covered — treatment services

    Program process overview

    • Program participation — provider information to submit
    • Patient information — insurance status, attestation, ID number
    • Claims submission and reimbursement — program portal, reimbursement policies

    Helpful resources and program timeline

    Materials

    Faculty

    Diana Espinosa, MPP is the Deputy Administrator, Health Resources and Services Administration (HRSA) for the U.S. Department of Health and Human Services. Working in partnership with states and numerous national and local organizations, HRSA uses its $11.7 billion annual budget to improve health outcomes and address health disparities through access to quality services, a skilled health workforce, and innovative, high-value programs. Most recently, Ms. Espinosa served as Senior Health Advisor to the HRSA Administrator providing counsel to the Administrator on a wide range of policy, program, and management issues. In her two years in this position, she played a key role in defining the strategic direction of the agency and implementing program and policy changes aimed at deploying vital agency resources. 

    Ashley DeVilbiss Bieck currently serves as the Vice President of National Provider Advocacy for UnitedHealthcare. In this role, she supports the internal UHC strategy by aligning projects, programs, policies and ideas with feedback from network physicians and practice staff, and identifies and remedies abrasion points to proactively ensure a seamless provider experience. Before coming to UnitedHealthcare she served in leadership roles with the Mid-America Regional Council’s Bi-State Health Care Initiative, the American Academy of Family Physicians, University of Kansas School of Medicine and the West Central Missouri AHEC.

    Tim Kaja is the SVP and Chief Operating Officer of UnitedHealthcare Networks, Mr. Kaja is responsible for managing and improving the tools, capital, contract management and fee schedule development systems, workflows and operations used by network contractors and network care providers when doing business with UHC. Formerly, Mr. Kaja was responsible for the development of the Link Platform at Optum, a multi-payer cloud enabled digital healthcare platform/portal designed for collaboration among all health system participants. Additionally, he was responsible for physician and hospital service operations throughout UnitedHealthcare, including provider contract installation, demographic maintenance, and directories across UnitedHealth Group. 

    Mary Murley is Chief Actuary, UnitedHealthcare, Medicare & Retirement, a position she has held since August 2007. Her primary responsibilities include valuation, underwriting and pricing, and trend analytics. She has in-depth knowledge around the complexities of Medicare products for medical and pharmacy benefits and has prepared hundreds of bids for Medicare Advantage and PDP organizations. Ms. Murley also oversees the annual bid submission process to CMS. She works closely with her team on the underlying analysis, assumption setting and supporting documentation as required by CMS.

    Commands