Uncovered.health

A deep dive into the risks of the UnitedHealth and Change …

WebIn January 2021, UnitedHealthcare (United) subsidiary Optum announced its intention to purchase the tech company Change Healthcare (Change) for $13 billion. For …

Actived: 4 days ago

URL: https://www.uncovered.health/evidence/a-deep-dive-into-the-risks-of-the-unitedhealth-and-change-healthcare-merger/

About Un-covered

WebAbout Un-covered. Un-covered is an initiative to expose how payors have put their corporate wealth over the nation’s health—at the expense of patients and providers alike. No …

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The data keeps rolling in — claim denials continue to impact …

WebHealth insurance companies continue to cook up creative strategies to shortchange health systems through underpayments, non-payments, and — it’s the big …

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The Individual Marketplace: What we know now

WebAs a result, the individual market is currently in a “high profitability” stage of the typical health plan underwriting cycle. In 2017, the combined individual market had an estimated loss of $3.4 billion. By 2019, the combined …

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Optum strikes its biggest hospital deal yet

WebWe’ve said it before: Optum is getting bigger. A subsidiary of UnitedHealthcare, Optum has inked its largest health system deal yet, Healthcare Dive …

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2020 Trust Index Un-covered

WebAnalysis and insights. In October 2020, we collected data from 127 health system executives, managed care professionals, and financial officers. Our survey participants …

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Is it just us, or are claim denials on the rise

WebOver the past year, hospitals across the nation have experienced a rise in denied medical claims from insurance companies. According to a recent article in …

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Another algorithm to say ‘no’ to your care

WebThe nation’s largest health insurer has recently found itself in hot water over an algorithm it uses to deny rehabilitation care for Medicare Advantage beneficiaries. …

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The five most important things to know about Cigna’s newly …

WebWhile there is no question that Optum continues to lead the pack, we have seen other major insurers, like Cigna, follow suit. *Cue Evernorth,* Cigna’s health …

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Why does UnitedHealthcare seem to have such trouble covering …

WebThe issue is that substance use and mental health disorders are on the rise dramatically, especially among children and teens. Just this December, the U.S. Surgeon …

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Optum sets its sights on Massachusetts’ largest

WebAtrius Health has a major presence in Massachusetts, with 715 physicians and 31 practices serving 750,000 patients across primary and specialty care, imaging, …

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This year, insurers are pulling record-breaking profits. Next year, …

Web“The premium hikes could affect the nearly 160 million Americans who rely on health coverage through their workplace,” according to Money.com. So, if you’re one …

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United Sued for Overpayment Recovery Methods With Employer …

WebEmployers be warned: On July 21, 2020, Health Payer Intelligence reported a class-action lawsuit against United for cross-plan offsetting. Learn what that means and …

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Update on United's Acquisition of Change Healthcare: …

WebIn 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 …

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In every way, Optum is getting bigger. And bigger, and bigger

WebOptum. • 90%: American hospitals use its OptumInsights service. • $65 billion: Annual amount managed by its Optum 360 division. • 1,450: Number of neighborhood …

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Three Big Health Insurance Myths

WebMyth 3: Health insurers are appropriate and efficient gatekeepers to healthcare. Under the pretense of reducing unnecessary and inappropriate care, insurers began making …

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Optum takes its joint ventures to the next (vertical) level

WebAnd this venture into media – called RVO Health – is just one more way of achieving Big Health Insurer status. The execs have made their plans pretty clear – …

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UnitedHealthcare ordered to reprocess 67,000 behavioral health …

WebOn November 5, 2020, several news outlets, including Behavioral Health Business, covered a federal judge's ruling on UnitedHealthcare. The insurer will be forced to reprocess …

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The real reason for North Carolina’s mental health crisis

WebThe article explains that even prior to COVID-19, “North Carolina’s mental health system already relied heavily on emergency services. Now, hospital and state …

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