Injunction stops insurer from dropping physicians

Injunction stops insurer from dropping physicians

(HealthDay)—United Healthcare has been given a last-minute temporary restraining order preventing it from removing thousands of physicians from its Medicare Advantage networks in Connecticut, according to an article published Dec. 6 in Medical Economics.

The journal reports that the Hartford County Medical Association and Fairfield County Medical Association had sought the temporary restraining order. U.S. District Court Judge Stefan Underhill ruled on Dec. 6 that the associations had sufficiently demonstrated that they would suffer imminent harm for which adequate compensation through damages was not possible. United Healthcare stated that it intends to immediately appeal the decision.

Judge Underhill ruled that United Healthcare would have violated Medicare regulations and appeared to have breached its contract with by removing them without cause or explanation, according to the article. United Healthcare stated during oral arguments that it routinely amends contracts without physician consent to allow for their removal, but the judge noted that no evidence for this was provided in follow-up documents.

The majority of the approximately 2,200 affected physicians are reported to be in Hartford, New Haven, and New London counties. The medical associations say that 20,000 to 30,000 patients would have been affected, according to the article.

More information: More Information

add to favorites email to friend print save as pdf

Related Stories

American medical groups protesting physician cuts

Nov 25, 2013

(HealthDay)—Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

Recommended for you

Health care organizations see value of telemedicine

7 hours ago

(HealthDay)—Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

Before you go... are you in denial about death?

14 hours ago

For most of us, death conjures up strong feelings. We project all kinds of fears onto it. We worry about it, dismiss it, laugh it off, push it aside or don't think about it at all. Until we have to. Of course, ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.