UnitedHealthcare
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UnitedHealthcare Invests $11.1M To Address SDOH Needs
UnitedHealthcare awarded grants to 66 nonprofits across 12 states. The grants will support those struggling with social isolation, behavioral health, food insecurity and other social determinants of health.
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Payers Need Clear Outcomes Data to Reimburse Digital Health, Experts Argue
It’s clear that services like telehealth and remote patient monitoring have potential to provide value within the healthcare industry, but hospitals and digital health companies need to show payers clearer evidence of the outcomes these care modalities can produce in order to earn reimbursement, panelists argued during MedCity’s INVEST conference.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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UnitedHealthcare Launches Rewards Program With Wearable Devices
UnitedHealthcare Rewards members can earn up to $1,000 per year by meeting daily activity goals, tracking sleep and fulfilling other one-time health activities. The program is intended to incentivize healthy habits, the insurer said.
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How UnitedHealthcare Is Supporting Americans’ Travel
UnitedHealthcare has recently introduced a set of three travel protection plans called SafeTrip, which offer healthcare insurance and trip cancellation coverage for Americans.
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UnitedHealthcare, AARP Team Up To Improve Access To Hearing Aids
Through the partnership, AARP members are able to purchase prescription and over-the-counter hearing aids through UnitedHealthcare Hearing. They’ll also be able to receive free hearing tests.
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After buying MDLive, Cigna will launch its own virtual-first health plan
After UnitedHealthcare and Aetna announced plans to launch virtual primary care plans, Cigna is rolling out its own with select employers. It’s also offering a broader suite of telehealth services to everyone enrolled in employer-sponsored plans.
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CMS suspends enrollment in UnitedHealthcare, Anthem MA plans
The agency has suspended enrollment in three UnitedHealthcare plans and one Anthem plan for 2022 because the plans did not spend enough of their premium incomes on medical benefits and claims. The payers can contest the suspension, though it is unclear if they plan to.
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UnitedHealthcare to expand ACA exchange offerings to 7 new states
UnitedHealthcare is planning to participate in the ACA insurance exchanges in Alabama, Florida, Georgia, Illinois, Louisiana, Michigan and Texas. This will bring its total ACA marketplace footprint to 18 states.
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UnitedHealth subsidiaries settle mental health parity allegations for $15.6M
UnitedHealthcare and United Behavioral Health agreed to the settlement to resolve allegations that they illegally denied coverage for mental health and substance use disorder treatments. The allegations are related to business practices they no longer use, parent company UnitedHealth Group said.
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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UnitedHealthcare nixes some out-of-network coverage for non-emergencies
Per a policy update that went in to effect July 1, the health insurance giant is not covering non-emergency services that members receive at out-of-network facilities that are outside of their service area. This update mainly affects residential treatment facilities, inpatient rehabilitation and other non-hospital-based services.
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Emergency physicians oppose new UnitedHealth policy enabling retroactive ED claims denial
UnitedHealthcare is instituting a new policy beginning July 1 that changes how the payer assesses emergency department claims, allowing it to retroactively deny ones it deems “non-emergent” or not an emergency. The American College of Emergency Physicians has made its opposition clear, stating the policy may violate federal law.
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UnitedHealthcare’s new social determinants effort spans 23 programs
The payer’s Community Catalyst initiative includes 23 programs that involve collaborations with various community-based organizations and health centers. They tackle different types of social determinants of health issues, including food insecurity among seniors and the health needs of those in public housing.
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Bright Health follows rival Oscar Health down IPO path
Bright Health has filed preliminary paperwork for an IPO, joining its rivals in the insurance technology space in going public. Though there are few confirmed details at the moment, Bright Health is reportedly looking to raise $1 billion through the offering.
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Lawsuit: Like a “boa constrictor,” UnitedHealthcare squeezed anesthesia group out of competition
U.S. Anesthesia Partners has filed lawsuits against UnitedHealthcare in Colorado and Texas, accusing the payer of forcing it out of network and intentionally interfering with its relationships with providers in those states. But, according to UnitedHealthcare, the lawsuits are an attempt to get the insurer to meet the anesthesia group’s high rate demands.
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Why hospitals want CMS, FTC to examine two UnitedHealthcare policies
Two UnitedHealthcare policies have raised several concerns among providers, including that they may display anti-competitive behavior and could block patient access to certain healthcare services. The American Hospital Association is asking the FTC and CMS to review and potentially block these policies.
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Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
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Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
