Health Affairs

Medicare Advantage Denies 17 Percent Of Initial Claims; Most Denials Are Reversed, But Provider Payouts Dip 7 Percent

Boris Vabson ([email protected]), Harvard University, Boston, Massachusetts. Andrew L. Hicks, Harvard University. Michael E. Chernew, Harvard University. Policy makers have been paying increasing ...
Star Tribune

Fairview access at risk for 33,000 patients in UnitedHealthcare Medicare Advantage

Fairview Health Services is alerting tens of thousands of patients with UnitedHealthcare Medicare Advantage insurance that they might lose in-network access to doctors and hospitals at one of ...
JD Supra

UnitedHealthcare Must Face State Law Claims in Class Action Suit for AI Driven Coverage Denials of Medicare Advantage Claims

The plaintiffs, who are UHC Medicare Advantage Plan customers and the estates of deceased customers, filed a class action complaint against UHC in November 2023, which was amended in April 2024, and ...
Financial Advisor

Brokers, Agents Incentivized To Push Medicare Advantage Plans That Hurt Clients, Urban Institute Claims

Many Medicare enrollees are being steered into products that are “misaligned” with their best interests, according to a recent analysis from the Urban Institute. According to the September report, ...