Search for: "UnitedHealthcare"
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23 Oct, 2007 1:57 am
... District of Columbia. This settlement comes after a multi-state investigation by state insurance regulators regarding UnitedHealthcare's
claims practices, fee schedules and deductibles. In addition, under the settlement agreement, UnitedHealthcare could be ... practices and
consumer complaint handling procedure in the future. New York, one of five states to head the investigation of UnitedHealthcare on behalf of
the 31 other states, will receive the largest sum, $4 million, under the terms of the ...
5 Dec, 2008 5:05 pm
Uninsurance insurance. Yep, that's the latest arrow in the quiver of health care insurance giant UnitedHealthcare. As it loses covered lives
thanks to layoffs of folks insured through employer-sponsored plans, UHC is looking to pick ... coverage if you have sufficient "creditable coverage," with no pre-existing condition
exclusions, most bases are already covered. UnitedHealthcare's move looks to be a cynical combination of fearmongering and a bet against
meaningful health care reform under an Obama ...
13 Jul, 2008 4:48 pm
... . Subsequently, University Police investigating the case discovered all the students were enrolled in a insurance program administered by UnitedHealthCare. A press release on the UC Irvine site gave credit to UCI Police Sergeants Tony Frisbee, Shaun ... victims when their information has been
used to commit tax fraud. The Houston Chronicle article mentioned that UnitedHealthCare will be offering free credit monitoring and that UCI
will be offering loans to the affected students. It also mentioned ...
26 Jun, 2008 2:00 pm
... Industry Radar readers!]Well, it must have seemed like a good idea at the time:"Weeks before the deal was signed, UnitedHealthcare sent
176,000 letters to customers. Many of the letters incorrectly warned people that their doctors would be out of ... didn't work out quite that way:"The investigation was sparked by those
complaints and media attention, as well as the fact that UnitedHealthcare is one of the health plans offered to state employees."Gotta love
that last: given that at least a few of ...
24 Aug 12:30 pm
... " goes the adage, and once again, we have a case of a carrier "doing the right thing." From email:"UnitedHealthcare will provide coverage
for the administration of the H1N1 (swine flu) vaccine for all members covered by its fully insured plans. ... the vaccine, and you notify us of your client's intent not to cover the
vaccine in the future, UnitedHealthcare will reimburse the cost of the administration of the vaccine. The federal government has said that the
vaccine will be provided at no cost to ...
17 Oct, 2006 5:21 am
UnitedHealth Group, the people who bring you UnitedHealthcare, has forced out its CEO, its general counsel, and a board member because of stock
option backdating. The company reported the news on its website here. UH Group's actions come in the wake of a report by WilmerHale about backdating at the company. There are articles
in the NYT and the W$J; an NPR report featuring Mississippi law professor and Fund Democracy founder Mercer Bullard can be found here. A few thoughts: The WilmerHale report ...
9 Feb, 2007 11:33 am
... their transparency programs online, and as consumers make more use of them, it seems reasonable that there may be a (for lack of a better word) backlash against the process.And so
there has been:"Regence BlueShield and UnitedHealthcare informed [Dr] Kelly that he failed to qualify for their respective designations as a
high quality doctor…a family physician in practice outside Tacoma, Wash., who is now suing Regence over its program."Dr Kelly believes that he was inappropriately singled out for ...
12 Mar, 2007 6:38 am
UnitedHealth Group, the health-insurance giant, said on Monday it would acquire Sierra Health Services for $2.6 billion, or $43.50 in cash per share, to help it expand in the
fast-growing Southwest. Sierra provides health benefits and services to 310,000 members in Nevada and 320,000 customers throughout the United States. "Combining UnitedHealthcare and Sierra brings together two [...]
28 Mar, 2007 3:22 pm
John Aloysius Cogan Jr., an attorney who is the Executive Assistant for Policy and Program Review for the Rhode Island Office of the Health Insurance Commissioner, is blogging about
health insurance, health policy and health law issues at Regulating Health Insurance. ADDED (3.28.07 6:30pm): And his post about the UnitedHealthcare situation and the changed role of the health insurance regulator is interesting and informative.
29 Oct, 2007 6:10 am
We're pretty quick to take insurers to task here at IB, but sometimes they get it right:"UnitedHealthcare, PacifiCare® and SecureHorizons® are
concerned about the well-being and livelihoods of those affected by the ongoing wildfires. We want to ensure affected members receive the care they need without any delays or
disruptions."So begins an email I received this morning from UHC. A link embedded in the email takes us to a 2 page summary of measures the carrier is taking to ensure that its' ...
27 Nov, 2007 10:21 am
... actually cost less. This reader (who wishes to remain anonymous, but for whom I can vouch credibility) wrote to let us know that his company, United Healthcare, generally doesn't
ding their members in this way:"I have now confirmed that UnitedHealthcare (my employer) IN FACT DOES only assume member responsibility up to
the contracted cost of a covered service for BOTH medical and pharmacy claims. In short, we do not attempt to charge members a full copay for covered services like those involving ...
8 Dec, 2007 11:24 am
... how they come up with their ratings, and there is no guarantee that the cheapest doctors are necessarily the best choice. Now the attorney general's office has negotiated agreements
with several major insurers, including Aetna, Cigna, UnitedHealthcare and Empire Blue Cross/Blue Shield, that should make the ratings systems
more useful to consumers and fairer to doctors. Some are skeptical of intervention. For example, someone might argue that problematic rating systems should just be addressed ...
30 Jul, 2008 3:00 pm
About a month ago, we learned that United HealthCare had pulled a little faux pas (literally, fox's paw) by (erroneously) notifying some 176,000 insureds that their provider of choice,
OhioHealth, would no longer be in-network. To say the least, they chose poorly.Now, though, it's time to pay the piper, to the tune of a quarter of a million dollars (or, as insurers
call it, petty cash). That's a heck of a fine for some letters, especially since the two parties eventually inked a deal.The fine ...
18 Sep, 2008 12:43 am
... once again, the Lone Star State led the pack, with almost 68,000 participants. North Carolina took second place, with almost 60,000, and California again managed only to "show,:
reporting just over 40,000 enrollees.Health insurance Bad Boy UnitedHealthcare reported their HRA and HSA numbers as a group, so we don't have
a breakdown by configuration. I'd like to have that, because it's my opinion that Health Reimbursement Arrangements (HRAs) are more likely to result in overutilization than their ...
23 Oct, 2008 2:30 pm
[Welcome Industry Radar readers!] First up, Health Savings Accounts (HSA's) take a bounce:UnitedHealthcare, which has certainly earned our
disdain over the years, redeems itself with some timely and useful information about HSA market penetration. They studied the claims activities of over 200,000 of their HSA clients for
a full year, and then drew some conclusions based on that information.Since they used 2006 as their benchmark year, all the numbers in the study reflect experience with ...
17 Dec, 2008 3:06 pm
... , but eventually that well can run dry in some situations. This is one of them. "The primary reason for . . . caps is to lower the cost of insurance so employers can cover as many
people as possible," said Mary McElrath-Jones, spokeswoman for UnitedHealthcare, parent company of UMR, administrator of Brockington's health
plan. That is true, but, in this case at least, it is a weak argument. The difference in a plan max of $5M vs. $2M is almost nill. For literally a few dollars extra per week the ...
13 Jan 10:36 am
... drive health insurance costs. That is, increases in the cost of care directly affect the cost of financing (insuring) that care.One proven method for reining in that trend is
through health plans that empower and involve the consumer. Recently, UnitedHealthcare underwrote another major study of Consumer Driven Plans,
and how they have affected costs. They studied their own claims experience for the past 5 years, and found that these plans "consistently delivered lower cost than PPO plans in ...
6 May 7:47 pm
... Panelists: Kelly Choate, Vice President of Finance and Corporate Controller, Cash Cycle Solutions Cameron Hayes, Employee Benefit Consultant and Business Development Leader, Benefit
Controls of the Carolinas Austin Pittman, President and CEO, UnitedHealthcare of the Carolinas Reducing the Cost of Delivering CareSpeaker: Dan
Murrey, M.D., CEO, OrthoCarolina An Insider's View of Healthcare ReformSpeaker: Wesley Champion, Senior Vice President, Premier Consulting Solutions, Premier Inc. 10:25 - 10 ...
22 Jul 11:12 am
... visit the AMA Web site. Fortunately, the Dallas Morning News has summarized the findings for us: Doctors frustrated with medical claim denials issued a report card Tuesday of the
nation's largest insurers. According to the report, the percentage of medical claims denied in 2008 ranged from Medicare's 6.9 percent to UnitedHealthcare's 2.7 percent. The percentages improved this year, ranging from Anthem Blue Cross Blue Shield's high of 4.3 percent to Aetna's low claim
denial rate of 1.8 percent.
1 Jul 4:19 pm
... of strategy, sales and programs for Empire Blue Cross Blue Shield. "It's just in a document that I don't think the average person bothers to read." "You expect people to read their
benefits," said William Golden, chief executive of UnitedHealthcare's health plan for New York, of the source of many surprises. "I'm not sure
that really happens all the time. It's important to read the small print." Here are two insurance executives admitting in black and white that they are selling policies that ...
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