UnitedHealth cutting more docs from medicare advantage

June 28, 2014
UnitedHealth cutting more docs from medicare advantage

(HealthDay)—UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

The author of the article, Rachael Zimlich, notes that Medicare Advantage, an alternative to fee-for-service plans, provides coverage through for 30 percent of Americans on Medicare. State medical associations in states including Alabama, Georgia, Massachusetts, North Carolina, and Tennessee report the recent termination announcements, which range from two to four percent of in the network in Massachusetts to a 10 percent reduction in Georgia. State medical associations and national professional organizations say the terminations are "without cause" and have asked the Centers for Medicare & Medicaid Services (CMS) to take action.

According to Zimlich, while UnitedHealth reports efforts to ensure members having to change physicians will not have their ongoing care disrupted, others are concerned. U.S. Representative Rosa DeLauro (D-Conn.) announced in the spring that she would introduce the Medicare Advantage Participant Bill of Rights Act to prohibit plans from dropping physicians in the middle of the year. Additionally, DeLauro has asked the Government Accountability Office to launch an investigation into CMS' oversight of UnitedHealth's actions.

"Among the many factors that we consider are the relative breadth of our network in a particular market, the access and health care needs of our local membership, the number of UnitedHealthcare members seen by a provider, as well as the type of contract we have with that doctor," UnitedHealth spokesman Terence O'Hara said in an e-mailed statement to Medical Economics.

Explore further: CMS softens Medicare Advantage funding changes

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not rated yet Jun 29, 2014
United Healthcare is "cutting" physicians from it's contracted "network" because these physicians will not sign their contracts for lower and lower reimbursement rates. The Medicare Advantage programs does just that, takes advantage of Medicare enrollees. Medicare Advantage programs take their Medicare dollars and puts the enrollees into a very managed program requiring reviews/approval for the majority of services. This process also involves the physicians' time leaving them less time for their patients. It all boils down to the dollars and stockholders. Mark my word...
5 / 5 (1) Jun 29, 2014
"Without cause." If you like your doctor you can keep your doctor.
1 / 5 (1) Jun 30, 2014
Thank you Obama and the Democratic Party.

If anyone votes Democrat in the next election, they and there loved ones should be forced to be and stay on Obamacare.

Only idiots vote Democrat.
1 / 5 (1) Jun 30, 2014
Thank you Obama and the Democratic Party.
If anyone votes Democrat in the next election, they and there loved ones should be forced to be and stay on Obamacare.
Only idiots vote Democrat.

freethinking is it?
This article is about Medicare. Medicare isn't part of the Health Insurance Marketplace established by ACA or Obamacare, so you don't have to replace your Medicare coverage with Marketplace coverage. However it doesn't stop any insurance companies from short changing someone on their so called "Medicare advantage" plans. In fact, UNH had for the last few quarters been cutting back or all together eliminating their Medicare advantages plans for seniors.
1 / 5 (1) Jun 30, 2014
It all boils down to democrats and Obamacare purposely reducing health care to third world standards for everyone, but the elites.
not rated yet Jul 01, 2014
Can anyone with a straight face say the following.
Health care is better under the democrats Obama health care system?
Obama and the Democrats didn't lie, and you can keep your health insurance if you liked it?
Obama and the Democrats didn't lie, and you can keep your doctor if you liked them?
Obama and the Democrats didn't lie, your insurance bill is now lower than it was before just like they said it would be?

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