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MedCity News

CMS suspends enrollment in UnitedHealthcare, Anthem MA plans

The Centers for Medicare & Medicaid Services has suspended enrollment in three Medicare Advantage plans offered by UnitedHealthcare and one by Anthem because they did not meet the minimum quota for benefits expenditure. The Social Security Act requires MA organizations to maintain a medical loss ratio of at least 85%,...
HEALTH
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beckershospitalreview.com

New Jersey hospitals cut contract with UnitedHealthcare

Prime Healthcare hospitals in New Jersey are terminating their contracts with UnitedHealthcare over reimbursement rates the system claims are lower than those offered by Medicaid. Contract terminations come from Newark-based Saint Michael's Medical Center, Passaic-based St. Mary's General Hospital, and Denville and Dover-based Saint Clare's Health, according to TapIntoNewark. Prime...
HEALTH SERVICES
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TRENDING TOPICS
healthleadersmedia.com

Anthem, UnitedHealthcare MA Plans Sanctioned for Missing MLR Threshold

When a Medicare Advantage plan fails for three straight years to meet the 85% threshold, CMS must suspend them from accepting new enrollees for the next contract year. — Four Medicare Advantage plans affiliated with UnitedHealthcare and Anthem, Inc. have been barred from enrolling new members until 2023 after failing to meet the 85% medical loss ratio threshold for paying benefits, theCenters for Medicare & Medicaid Services says.
ECONOMY
The Suburban Times

7 Tips for Savvy Health Insurance Shopping This Fall

Submitted by UnitedHealthcare of Washington. Our health needs can change each year, and so can health plan coverage choices. So, it’s important to understand your health care options to find coverage that fits your needs and budget. Annual open enrollment season is here, a time when more than 7 million...
PERSONAL FINANCE
Gazette

GUEST COLUMN: Tips for savvy health care shopping during open enrollment

Our health needs can change each year, and so can health plan coverage choices. So it’s important to understand your health care options to find coverage that fits your needs and budget. Annual or open enrollment season is here, a time when many Coloradoans and millions of Americans across the...
HEALTH

Quinn Emanuel awarded $185 million in fees for Obamacare case

(Reuters) - A federal judge on Thursday awarded Quinn Emanuel Urquhart & Sullivan nearly $185 million in fees for representing health insurers that were cleared to receive $3.7 billion from the federal government under an Obamacare program. U.S. Court Federal Claims Judge Kathryn Davis approved a request the firm made...
CONGRESS & COURTS

LYONS HR, LLC Announces Partnership With UHC

FLORENCE, Ala., Sept. 20, 2021 /PRNewswire/ -- Lyons HR, LLC (a member of Lyons & Company, Inc. family of companies), among the nation's most experienced and most respected privately held professional employer organizations, announced that it has entered into an agreement with UnitedHealthcare® to offer a master health plan to its' clients. Mercer Health Benefits is the Broker.
BUSINESS
islandernews.com

How older adults can reduce the risk of falling

About one in four people in the United States over age 65 reports falling each year. Among older adults, 1 out of 5 falls causes a serious injury, including 90% of hip fractures and 51% of traumatic brain injuries. Contributing factors for falls include poor balance, poor vision, certain medications,...
MENTAL HEALTH
nique.net

Tech men’s hoops teams up with Art in the Paint

UnitedHealthcare, Art in the Paint and members of the Tech men’s basketball team joined forces to give back to the community on Sept. 9. The event unveiled a newly refurbished and beautified court and offered a free basketball clinic for children in the local community. The new court is located in Rose Circle Park, near the West End Beltline, and the event is part of a larger initiative to create safe spaces for exercise in underserved communities.
NBA
HealthcareFinanceNews.com

UnitedHealth, Anthem Medicare Advantage plans penalized for inadequate spending

The Centers for Medicare and Medicaid Services has blocked four Medicare Advantage plans from enrolling new members in 2022 because they didn't spend the minimum threshold on medical benefits, with three UnitedHealthcare plans and one Anthem plan failing to hit the required 85% mark three years in a row. Medicare...
HEALTH
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