Here we go again the “too big to fail” health insurer at it again. Read some of this and see why even the doctors have trouble knowing they are in network, much less patients trying to figure all of this out. Insurers make money by making contract complex …
Continue ReadingThis is not the first time the AAFP confronted United Healthcare as they did back in 2012 when they were getting complaints from doctors across the US that they were getting paid at rates less than Medicare. I hear it all the time in the OC with doctors tell…
Continue ReadingHow many companies used the Ingenix Data Base one has to question. While current Ingenix had a name change to Optum Insights a couple years ago and I think all the lawsuits might have had something to do with that. Another United Healthcare (Ingenix) Laws…
Continue ReadingThey had two and now these 3 to be opened by the end of the year make 5 in Texas plus the one in Kansas. Here’s the back link on the first announcement. Unlike retail clinics, there are real doctors here and I would guess like the rest of their Optum locat…
Continue ReadingAccording the filing below, this change took place effective January 1st of this year so as I read this all patient records, documentation, etc. would need some type of update to reflect the new names, policies and coverage. As we all follow data trails toda…
Continue ReadingThis settlement was a long time coming and it appears now it’s on the way for over $9 million. You may or may not remember when this lawsuit was filed against United Healthcare/Ingenix subsidiary six years ago so you can use the link below to read up. This …
Continue ReadingI don’t know if this is in network or out of network and the reason I mention this is that it sound similar to the old Ingenix out of network algorithms that were used and then declared low-balled and led to the AMA lawsuit against the company for short payi…
Continue ReadingThis is yet another expansion of the Medicare Advantage Killer Algorithms as the insurer business intelligence methodologies used are designating that these are additional areas that are having an impact on over all profit strategies. This is a process that …
Continue ReadingAlere is a consumer and professional medical diagnostic products maker and Optum will buy Alere Health and all of it’s subsidiaries to add to the army of subsidiaries Optum/United already owns. United Healthcare has been hiding in plain sight for years scoop…
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