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United members expect coverage for post-cancer surgery. United says: “Nah.”

So, let’s say a woman you know is diagnosed with breast cancer, and with the right healthcare, she beats it. It’s a tough fight, but she beats it. Everybody breathes a sigh… Read More

CA doctors accuse United of shortchanging them on COVID-19 tests

The latest in the saga of United’s ascent to the peak of Mt. Miserly is the case being brought against them by the California Medical Association (CMA). As reported by Healthcare Dive,… Read More

United announces plans to deny ED claims retroactively

Let’s say you have a pain somewhere in your gut in the middle of the night. You’re not sure where it came from; it gets worse and then better, but it’s not… Read More

A closer look at Optum, United’s fastest growing business

We talk a lot about Optum in terms of its place in the UnitedHealth Group family tree, and how it fuels its parent company United’s growth. But a recent piece in Fierce… Read More

A surprise bill from United (that we could have seen coming)

Insurers like to lay the blame for surprise medical bills on providers. Sometimes, they’re even brazen enough to blame their own members, claiming that they have failed to scrutinize their insurance coverage… Read More

United is on the gain: Profits, members, and scrutiny

Spring is in the air, which means that it’s time for Q1 reports. As Insider Intelligence’s eMarketer article details, UnitedHealthcare shows soaring numbers, both in membership, which grew by more than 1… Read More

United’s power play

As UnitedHealthcare continues to make bold moves—acquiring here, consolidating there—it’s managing to become the biggest health insurance entity in the known universe. As we’ve reported on several times, its health services subsidiary,… Read More

United’s pending purchase of Change Healthcare goes under the DOJ’s microscope

You may have read our earlier coverage of UnitedHealthcare subsidiary Optum’s intended purchase of Change Healthcare, the enormous administrative network that processes claims and medication requests for physicians and pharmacies. Recently, the… Read More

United vs. patients: The never-ending story

We feel for the UnitedHealthcare legal team. They must be worn out these days, what with so many lawsuits taking them to task for alleged misdeeds like fraud and illegally refusing to cover… Read More

The AHA flags new UnitedHealthcare policies for federal scrutiny

Two new seemingly unrelated policies being rolled out by UnitedHealthcare—one on labs and the other on specialty drug distribution—have been flagged by the American Hospital Association (AHA) as problematic for the same… Read More

Update on United’s acquisition of Change Healthcare: Shareholders and providers expressing concern

In early January, we shared our point of view on UnitedHealthcare’s planned acquisition of the data company, Change Healthcare. To no one’s surprise (at least not ours), there is some controversy surrounding… Read More

New year, but same old story… UnitedHealth Group rakes in billions

It is no secret that 2020 was a good—no, make that great—year for UnitedHealth Group. As we covered previously, even a “bad” quarter for this company was still leaps and bounds ahead… Read More

Blues plan switches to a United-owned PBM

Blue Cross Blue Shield of Michigan and Blue Care Network recently announced they are switching from Express Scripts (owned by Cigna) to OptumRx (owned by UnitedHealth Group) with the intention of reducing… Read More

UnitedHealthcare just cut thousands of emergency room docs from their 2021 network

We rang in 2021 with yet another big move by UnitedHealthcare: its decision to cut Envision Healthcare from its network after the two companies were unable to come to an agreement regarding… Read More

United buys itself a $13 billion holiday present

Looks like UnitedHealthcare might have been saving up all those profits to buy itself an extravagant New Year’s gift. In early January, United’s subsidiary Optum announced that it will purchase the technology… Read More

United kicks off 2021 by cutting a critical NYC safety-net health system from its network as COVID-19 cases reach record highs

Here’s a trend we saw in 2020 and will likely continue to see in 2021: UnitedHealthcare forcing providers to choose between accepting dramatic pay cuts or being cut out of United’s network.… Read More

UnitedHealthcare hikes cost for municipal employer by almost 10 percent amid a year of record-breaking pay cuts and job losses

Like most employers, the City of Philadelphia, MS, will be seeing the cost of health insurance for its employers increase next year. What’s unique about this story, however, is how clearly it… Read More

Consumers seeking comprehensive coverage should watch out for this predatory United health plan 

When Sam Bloechl was buying a comprehensive health plan, one he believed would cover him for a life-threatening illness; he did not know he was sick. A subsequent cancer diagnosis led doctors… Read More

This is how much revenue United projects for 2021. Spoiler: it’s a lot

It’s been well documented that insurers have profited from a drop in care utilization during the pandemic, while providers experienced a sharp drop in revenue with many elective procedures being postponed or… Read More

Public opposition to new lab coding policy pushes UnitedHealthcare to hit pause

Back in November, we covered a Health Leaders story about a new lab coding requirement UnitedHealthcare planned to implement in early 2021, smack in the middle of cold and flu season and… Read More

UnitedHealthcare squeezes Gaston County’s only hospital during worst pandemic months

Residents of Gaston County with UnitedHealthcare insurance are expected to face higher costs at Gaston County’s only hospital, CaroMont Regional Medical Center. This is due to UnitedHealthcare terminating their CaroMont Health contract.… Read More

Employers give C+ to health plans overall, and even lower grades to United

In summer 2020, nonprofit watchdog The Leapfrog Group surveyed more than 170 employers on their satisfaction with health plans’ responsiveness, transparency, payment reform, and value. When asked to grade their health plan… Read More

UnitedHealthcare ordered to reprocess 67,000 behavioral health claims

Back in October, we shared a Bloomberg article about insurers violating the spirit of the The Mental Health Parity and Addiction Equity Act. At the center of this story was a lawsuit… Read More

Colorado’s attorney general takes the unusual step of intervening in a proposed United merger

The 2017 acquisition of DaVita Medical Group by UnitedHealthGroup had impacts across the country, but the strongest opposition to the deal came from the Colorado State Attorney General Phil Weiser, who took… Read More

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