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

Can YouTube save your life?

Aug 29, 2014

Only a handful of CPR and basic life support (BLS) videos available on YouTube provide instructions which are consistent with recent health guidelines, according to a new study published in Emergency Medicine Australasia, the jo ...

Doctors frequently experience ethical dilemmas

Aug 29, 2014

(HealthDay)—For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

AMGA: Physician turnover still high in 2013

Aug 29, 2014

(HealthDay)—For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

Obese or overweight teens more likely to become smokers

Aug 29, 2014

A study examining whether overweight or obese teens are at higher risk for substance abuse finds both good and bad news: weight status has no correlation with alcohol or marijuana use but is linked to regular ...

User comments