United Healthcare Firing Thousand of Doctors Caring For Medicare Advantage Plan Patients in Connecticut, Florida and Rhode Islan
Posted Oct 10 2013 11:49pm
So far the company has not released an “official” answer to the news station but these guy play for dollars only, as the United CEO says, “our shareholders will prosper”. Nothing this company does surprises me any more and we have the United “Manifesto” in the OC where I live with their non profit subsidiary working hard to build for profit businesses. There are so many entities they either own outright with a subsidiary or they create another subsidiary and get 51% controlling interest with merging a company in that they want. If you have never seen their truckloads of subsidiaries , take a look and you will find a lot of surprising companies listed along with one that does hospice for profit and you can read about their bank.
Back when the Tri-Care bidding was taking place when Health net almost lost the northeast and during the time of re-examining the bids, they had to sell part of their business to United as the loss of the Tri-Care business was that substantial and perhaps these are some of the “old contracts” that they can’t reduce down..could be. Health-Net did not lose the contract as Aetna, who originally got the bid cheated.
If you go back in time to the out of network payments United has been using their math business models for a long time to profit..the AMA settlement of 15 years of short paying doctors and hospitals so again to not have one eye in the back of your head open dealing with this company is a mistake. Everyone was duped with the United math models for 15 years and the other major insurers all licensed it too, so they got stuck with lawsuits too when Cuomo figured out the bad math. If they don’t get what they want, they sue and they did put a Blue Cross subsidiary out of business on the west coast that DOD members wanted to keep.
The company did say about 1500 primary care and 4000 specialists will be cut as of February 1, 2014 so we have an “insurer too bit to fail” and like I said above look at the truckloads of subsidiary companies they own or have 51% controlling interest. The US Supreme Court gave doctors a little leg to stand on with a ruling that doctors can now group together and litigate as all the United contracts said they could not so it was always the one doctor against the big conglomerate. It appealed all the way up to the Supreme Court.
All I can say is Gov better learn how to model and hire some data sleuths on their side, i.e. Quants that have been on the other side and help educate them on what math models do, how they are written and how the models work with day to day business intelligence analytics. BD
Those letters were sent out to doctors caring for 'Medicare Advantage' patients. It's a plan, marketed to Seniors to provide additional services through UnitedHealthCare. A mix of primary care and specialty doctors are affected by it. And it comes at a questionable time. Open enrollment for Medicare starts next Tuesday, and it's still not clear at this time as to which doctors are still in the United network.