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A conflict of many interests: Cloverfields Capital Group and its ties to UnitedHealth Group

When it comes to avoiding insider trading, guess we’ll just have to take UnitedHealth Group’s word for it. The sticky situation is this: Stephen Hemsley, the former CEO of UnitedHealth Group and… Read More

UnitedHealthcare rolled back its prior authorization policy. But ‘advance notification’ might be even worse.

Earlier this spring, UnitedHealthcare (United) announced plans to effectively use prior authorizations as blockades to colonoscopies. Any patient seeking a surveillance or diagnostic colonoscopy to detect cancer would first need approval from… Read More

A deep dive into the risks of the UnitedHealth and Change Healthcare merger

What if there was an opportunity to make the biggest health insurance conglomerate in the United States even more powerful by equipping them with boatloads of sensitive health data? Imagine no more.… Read More

It’s another legal loss for UnitedHealthcare

It’s another loss for UnitedHealthcare (United) in its ongoing legal battle with TeamHealth. The Tennessee-based emergency physician company has filed a total of ten lawsuits against UnitedHealth Group, but its most recent… Read More

TeamHealth and UnitedHealthcare get in the ring . . . again

Does a Nevada lawsuit with UnitedHealthcare (United) sounds familiar? Well, since TeamHealth filed ten lawsuits against UnitedHealth Group last December, alleging underpayment for TeamHealth physicians – it might! In the first case,… Read More

Another slam dunk for UnitedHealthcare

An unfortunate reality in this country is that many Americans struggle to access and pay for healthcare. The reasons are varied, and different stakeholders cast blame differently: Hospital  prices. Decreased Medicaid reimbursement.… Read More

UnitedHealthcare’s ‘evil empire’ strikes back against a new lawsuit

Break out the popcorn for this one.   According to a recent article in HealthLeaders, UnitedHealthcare has found itself in yet another legal battle. United is no stranger to being sued and at… Read More

The good times may be coming to an end for UnitedHealth Group

Yet another lawsuit for this Big Insurer over its subsidiaries’ sketchy Medicaid behavior, this time in laid-back Louisiana

Why does UnitedHealthcare seem to have such trouble covering mental healthcare?

On the heels of a traumatic, COVID-ridden three years, overdoses have spiked, and substance abuse disorders are rising. And despite being federally required to cover mental healthcare at the same level as… Read More

UnitedHealth Group wants to talk healthcare “realities.” We’re game.

If healthcare were real estate, UnitedHealth Group owns the whole block. They just don’t want you to know that. According to a March 17th article in the Minnesota newspaper The Star Tribune,… Read More

UnitedHealthcare officially walks back controversial ER policy

What’s that saying? When you find yourself in a hole, quit digging? Looks like UnitedHealthcare (United) finally caught wise that attempting to implement stricter criteria for emergency services was ditch-digging at its finest. In… Read More

UnitedHealthcare’s tactics aren’t so bright in the Sunshine State

It’s time to roll out the insurer red carpet – straight to court! According to an article in the Orlando Sentinel, UnitedHealthcare (United) recently shelled out more than $4.7 million to UF… Read More

Seeing beyond the peak of UnitedHealthcare’s revenues

No mountain is too high when it comes to revenue expectations for UnitedHealthcare. 2020 was good, 2021 was better, and in 2022, we can’t even see the peak yet. Per a recent… Read More

The (first) jury is in, and UnitedHealthcare takes the hit

The jury has deliberated; the gavel has landed, and an insurance company is forced to face the repercussions of its actions. According to a recent article in Modern Healthcare, Tennessee-based emergency physician company… Read More

UnitedHealthcare reconsiders pandemic underpayments

When it comes to underpaying for COVID-19 care, you almost can’t blame UnitedHealthcare for trying. Well, actually, we can. After providers, largely pediatricians, complained that United was paying them substantially below market… Read More

Are anesthesiologists’ UnitedHealthcare contracts going under?

Anesthesiologists are in a painful situation, which is unfortunate considering their job is to help manage pain. In a recent article in Modern Healthcare, the American Society of Anesthesiologists (ASA) claims that… Read More

Is United penny-pinching pediatricians?!

UnitedHealthcare is known for denying coverage. Old story, we know. But now, they’ve targeted pediatricians. Seems a little aggressive, right? The American Academy of Pediatrics (AAP) seems to agree, and they aren’t… Read More

The DOJ is AHA’s newest pen pal. Their mutual concern? United.

You can always count on the American Hospital Association (AHA) to address red flags from insurers, namely, UnitedHealthcare. Thumbs. Up. AHA’s latest effort involves a letter addressed to the Department of Justice… Read More

UnitedHealthcare is hitting pre-pandemic profit records…yippee.

It’s common knowledge at this point – insurers made a killing last year due to the pandemic. Limited care led to fewer medical claims, which led to more dollars in insurers’ pockets.… Read More

When it comes to denying coverage, United’s like the Energizer Bunny… it never stops

We’ve covered a conglomeration of bad behavior from UnitedHealthcare – actions that many think negatively impact patients and providers alike, all in the name of profits. Now, we have a new ally… Read More

United adds another claim denial to their line-up: behavioral health

“Not allowed to retroactively deny emergency department (ED) claims? Well, then we just won’t pay out-of-network (OON) claims anymore.” We imagine this was idea that got thrown out at the latest meeting… Read More

CMS’ surprise billing rule puts United on the defense

As you know, UnitedHealthcare recently laid out its plan to put in place a policy allowing them to retroactively deny emergency department visits if the treatment shows it wasn’t an actual life… Read More

Is United the fox guarding OptumRx’s hen house?

Remember how a few months ago we wrote about how pharmacy benefit managers (PBMs) are huge benefactors for profit growth within insurers (ahem, Anthem)? Well, it’s becoming a trend that keeps ascending for… Read More

United’s proposal to raise rates has Rhode Island raising an eyebrow

Here’s what we’re wondering: Is there really a tsunami of patients set to crash down on the healthcare system as the pandemic dies down? Here’s what (we think) health insurers are wondering:… Read More

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Insurer policies limit coverage and disrupt patient care, while producing record profits for corporate shareholders. Stay informed with the Un-covered newsletter.