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Thousands of Medicare Advantage Doctors Dropped by Insurer Due To Obamacare Law
Saturday, November 16, 2013 10:15 PM
JONGSSTRAW
Quote:UnitedHealth Group has dropped thousands of doctors from its networks in recent weeks, leaving many elderly patients unsure whether they need to switch plans to continue seeing their doctors, the Wall Street Journal reported Saturday. The insurer said in October that underfunding of Medicare Advantage plans for the elderly could not be fully offset by the company's other healthcare business. The company also reported spending more healthcare premiums on medical claims in the third quarter, due mainly to government cuts to payments for Medicare Advantage services. "Medicare Advantage, an alternative to traditional Medicare, combines hospital and doctor coverage and often includes prescription drugs and perks like gym memberships," the Journal explained. "Enrollment has more than doubled since 2004 to 13 million in 2012, which represents about 27 percent of Americans on Medicare. "The federal government pays private insurers a per-capita fee to manage the benefits. The rate is currently about 12 percent more than the average Medicare patient spends annually. The Obama administration plans to cut those extra payments to insurers by about $150 billion over the next 10 years to help pay" for the Affordable Care Act, or Obamacare. Some experts told the Journal that they expect enrollment in Medicare Advantage plans to decline sharply if that occurs. The Journal report said that doctors in at least 10 states were notified of being laid off the plans, some citing "significant changes and pressures in the healthcare environment." According to the notices, the terminations can be appealed within 30 days. Tyler Mason, a UnitedHealth spokesperson, was not immediately available for comment when reached by Reuters. At least two state medical societies are seeking temporary restraining orders against UnitedHealth and other state attorney generals are investigating the firm. Attorneys in Connecticut, acting on behalf of the Hartford and Fairfield County Medical Associations, filed suit Friday after UnitedHealth dropped doctors serving the popular Medicare program, The Courant reported. Other states expressed similar anger over the changes. In Rhode Island, the state's attorney general and health department director on Friday sent letters to UnitedHealth's New England CEO, asking him to reinstate doctors until a full plan for such a transition could be put in place, Rhode Island Public Radio reported. Rhode Island Attorney General Peter Kilmartin and Health Department director Michael Fine told United Health that they are concerned the continuity of care will be lost in the shakeup. They also noted that UnitedHealth has not notified customers of the changes, leaving that up to doctors. But the insurer told the WSJ that its provider networks were always changing and that it expected its Medicare Advantage network to be 85 percent to 90 percent of its current size by the end of 2014. UnitedHealth is participating in about a dozen new state insurance markets that launched on October 1 to offer subsidized health coverage under Obamacare. The insurer had said previously it planned to withdraw from some markets in 2014 because of the government funding cuts. Another top health insurer, Aetna Inc , also warned in October that it expected slowing growth in 2014 in its Medicare Advantage plans.
Saturday, November 16, 2013 10:20 PM
Sunday, November 17, 2013 1:01 PM
Sunday, November 17, 2013 3:20 PM
FREMDFIRMA
Quote: Following a series of Medicare Advantage sales scandals, seven companies -- United Healthcare, Humana, WellCare, Universal American Financial, Coventry Health Care, Sterling Life Insurance and BlueCross BlueShield of Tennessee -- voluntarily suspended their marketing of private fee-for-service programs. The companies will be allowed to resume marketing after meeting Centers for Medicare and Medicaid Services guidelines released May 25 that include specific rules such as "verification of the beneficiaries intent to enroll, documented training of marketing agents and brokers, an inclusion of a clear disclaimer statement what (the) service is and what it is not," said the director of CMS, Abby Block.
Sunday, November 17, 2013 4:21 PM
Sunday, November 17, 2013 4:34 PM
NIKI2
Gettin' old, but still a hippie at heart...
Quote: At least two state medical societies are seeking temporary restraining orders against UnitedHealth and other state attorney generals are investigating the firm. Attorneys in Connecticut, acting on behalf of the Hartford and Fairfield County Medical Associations, filed suit Friday after UnitedHealth dropped doctors serving the popular Medicare program, The Courant reported.
Sunday, November 17, 2013 10:50 PM
Monday, November 18, 2013 3:18 AM
SHINYGOODGUY
Quote:Originally posted by Niki2: My thanx to Frem for ferreting out that information, I didn't know anything about UnitedHealth and didn't think to look. I think this thread has just been thoroughly debunked, too; Jong's entire article is about them, and it looks like they're in for litigation AGAIN, so looks like same old/same old with this company:Quote: At least two state medical societies are seeking temporary restraining orders against UnitedHealth and other state attorney generals are investigating the firm. Attorneys in Connecticut, acting on behalf of the Hartford and Fairfield County Medical Associations, filed suit Friday after UnitedHealth dropped doctors serving the popular Medicare program, The Courant reported. Good old NewsMax, at least they're predictable. Oh, by the way, people who have been denied health insurance go broke and die, and people who can't afford health insurance get sick and die, and old people whose insurance has "lifetime limits" and "annual limits" get sick and die, too; more interesting tidbits from our past. Yer really reaching, Jongs, if you want to contrast the elderly having to find new doctors with the scams "insurance companies" (which weren't even that) have been pulling for decades.
Monday, November 18, 2013 3:24 AM
Quote:Originally posted by Jongsstraw: 2014 : 4. Employer-provided insurance cancellations debacle 5. Employee layoffs debacle 6. Full-time to part-time employment debacle 7. Sebelius HHS Death Panels for Grandma and Grandpa debacle 8. Stolen I.D. fraud debacle 9. Hidden marriage penalty debacle 10. Higher payroll tax/less take home pay debacle.
Monday, November 18, 2013 3:28 AM
Monday, November 18, 2013 3:39 AM
Monday, November 18, 2013 9:00 AM
SECOND
The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/two
Quote:Originally posted by Jongsstraw: Desperate Obamacare supporters have nothing left but to demonize insurance companies.
Monday, November 18, 2013 9:10 AM
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