UnitedHealth sees 78% of members in high-rated Medicare plans

Title: UnitedHealth sees 78% of members in high-rated Medicare plans

Article Snip: "...The estimate of memberships in 4-star or higher-rated Medicare Advantage plans, which cover Americans aged 65 years or older, is consistent with the company's expectations and in line with historical performance, UnitedHealth said. ..."

Reference: www.reuters.com
UnitedHealth, High-rated Medicare plans,Medicare,Medicare Advantage plans,

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UnitedHealth dropping some Medicare Advantage plans, impacting 600K

Title: UnitedHealth dropping some Medicare Advantage plans, impacting 600K

Article Snip: "...the decision to exit certain Medicare Advantage plans during a second-quarter earnings call Tuesday, noting it would primarily affect members in “less managed products such as PPO offerings.”

Medicare Advantage plans are private health insurance plans approved by Medicare that provide an alternative way for people to receive their Medicare benefits. In 2024, more than half (54%) of eligible Medicare beneficiaries, about 32.8 million people, were enrolled in Medicare Advantage plans, according to the Kaiser Family Foundation. ...Insurers have seen a rise in expensive emergency room visits, and UnitedHealth leaders said that doctors are billing for more tests and services during those visits than they anticipated.

Insurance companies are also dealing with growing prescription drug costs, especially from expensive treatments for cancer and obesity, as well as gene therapy, The Associated Press noted."

Reference: www.newsnationnow.com
Medicare Advantage, UnitedHealth,

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UnitedHealth says it is cooperating with DOJ investigation into Medicare billing practices

Title: UnitedHealth says it is cooperating with DOJ investigation into Medicare billing practices

Article Snip: "...UnitedHealth Group revealed it is facing a Justice Department criminal and civil investigation over its Medicare billing practices, adding to a string of setbacks for a company that owns America’s largest and most powerful private insurer. ...DOJ interviewed several doctors about UnitedHealth’s practices and whether they felt pressured to submit claims for certain conditions that bolstered payments from the Medicare Advantage program to the company. ..."

Reference: www.cnbc.com
Justice Department criminal and civil investigation (UnitedHealth Group),UnitedHealth,Medicare, Medicare billing Practices,

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