UnitedHealthcare

Medicaid Plans Show Losses In First Half Of Year

Nov 2, 2018
iStock

As many as half of the managed-care plans providing Medicaid services to Floridians were losing money midway through the year. But key players say they are not worried.

iStock

Tampa-based Argus Dental and Vision withdrew a legal challenge to recently awarded contracts in Florida’s new Medicaid dental program, clearing the way for the state to move ahead with what one official described as the “broadest dental package ever available” to Medicaid beneficiaries. 

Sammy Mack/Health News Florida

There’s one less Medicaid contract challenge the state Agency for Health Care Administration will have to try to fend off before an administrative law judge. 

UnitedHealthCare

A stalemate between UnitedHealthcare — one of the largest health insurance companies in the country — and Johns Hopkins All Children's Hospitals could affect thousands of families across the Tampa Bay region, the Tampa Bay Times reported.

Administration Says New Rules For Medicaid Plans Will Improve Service For Enrollees

Apr 26, 2016

The Obama administration tightened rules Monday for private insurance plans that administer most Medicaid benefits for the poor, limiting profits, easing enrollment and requiring minimum levels of participating doctors.

United’s Departure From Marketplaces Could Impact Consumers’ Costs, Access

Apr 26, 2016
UnitedHealthCare

UnitedHealthcare’s decision to quit insurance exchanges in about 30 states next year has patient advocates concerned that fewer options could force consumers to pay more for coverage and have a smaller choice of network providers.

Insurance giant UnitedHealth Group says it will stop selling insurance on Obamacare exchanges in most states starting next year.

In a Tuesday call detailing UnitedHealth's first quarter earnings, CEO Stephen Hemsley said the company would "remain only in a handful of states," after losing money on the individual health plans it sold on state exchanges.

Brevard County’s largest doctor group will be out of network for residents with UnitedHealthcare insurance this Friday.

Health care is 17.5 percent of the gross domestic product. Think about that for a second: For every dollar spent in the U.S., about 18 pennies go to health care. One idea to curb the actual cost of health care is the Accountable Care Organizations, or ACO.

Health insurer UnitedHealthcare will partner with a local doctor’s group in a move they say will lower health care costs.

Medicare Slow to Adopt Telemedicine

Jun 24, 2015
Lynn Hatter / WFSU

Donna Miles didn’t feel like getting dressed and driving to her physician’s office or to a retailer’s health clinic near her Cincinnati home.

For several days, she had thought she had thrush, a mouth infection that made her tongue sore and discolored with raised white spots. When Miles, 68, awoke on a wintry February morning and the pain had not subsided, she decided to see a doctor.

Health Choices Network

Florida Medicaid, which has been touting its "Managed Medical Assistance" program as a national model, may want to hold off.

The program, which shifts virtually all Medicaid recipients into managed-care plans, underestimated how much their care would cost.

A spreadsheet the Agency for Health Care Administration prepared shows that nearly all HMOs and provider-service networks involved in the program are losing money.

The losses between May and December totaled more than $300 million, and some of the health plans said they could reach $700 million by June 30.

Longboat Key News

Sarasota Memorial Hospital will continue to be “in-network” for UnitedHealthcare Medicare Advantage and employer-based policyholders under a new contract, the Sarasota Herald-Tribune reports. 

Competition Restrains Marketplace Premiums

Dec 1, 2014

A surge in health insurer competition appears to be helping restrain premium increases in hundreds of counties next year, with prices dropping in many places where newcomers are offering the least expensive plans, according to a Kaiser Health News analysis of federal premium records.

KHN looked at premiums for the lowest-cost silver plan for a 40-year-old in 34 states where the federal government is running marketplaces for people who do not get coverage through their employers. Consumers have until Feb. 15 to enroll for coverage in 2015, the marketplace’s second year.

Stethoscope on a pile of dollars.
Flickr Creative Commons

Insurers must pay $41.7 million in rebates to Florida individuals and employers this summer, an amount that far exceeds refunds in any other state, according to a federal report released Thursday. 

Companies affiliated with Florida Blue in Jacksonville -- Blue Cross and Blue Shield of Florida and Health Options Inc. -- owe a total of $20 million, nearly half of the total.

Florida ranks near the middle of the state when it comes to senior health, according to a national survey released this week. Florida ranks 28th, slipping slightly from the last senior report by one notch.

United Health Foundation’s second edition of its Health Rankings Senior Report lists states’  strengths and challenges.  Among Florida’s strengths are the use of hospice care and a lower-than-average rate of smoking, falls and physical inactivity.  

To the Editor:
 
Re:
“AARP Medicare plans announced this fall that they would be dropping thousands of Florida doctors from their managed care networks. But the Florida Medical Association is not letting the matter drop…Several Tampa Bay doctors and their representatives expressed glee this week that somebody, somewhere, was doing something.”Tampa Bay Times, 12/12/13

The Florida Medical Association is backing a Connecticut lawsuit challenging UnitedHealthcare's decision to cancel Medicare Advantage contracts.

The Association filed a brief late Wednesday supporting the Connecticut State Medical Society's attempt to block the insurance carrier from tearing up thousands of physician contracts. A judge had imposed a stay on United's cancellations, and United wants him to lift the stay so it can proceed.

Carol Gentry

On Jan. 1, hundreds of Florida doctors who now treat UnitedHealthcare's Medicare patients will be dropped. A host of patients have been affected nationwide. (See update: FMA Protests Doctor-Dropping)

Insurance companies that offer Medicare Advantage -- HMOs or other managed-care plans -- often adjust their networks from year-to-year. But as the Tampa Tribune reports, some major changes for have many Tampa Bay area seniors double-checking their plans during the last couple of weeks of open enrollment.

UnitedHealthcare is triggering a furor in southwest Florida by dropping 300 physicians from its AARP/Medicare Complete HMO network, according to the Fort Myers News-Press.

Lottie Watts / WUSF

Open enrollment for people who have Medicare plans started this week. It's the time when all people with Medicare, the federal health insurance program for people 65 and older and the disabled, can change their private Medicare Advantage plan or prescription-drug coverage.

Health News Florida's Lottie Watts talked with Kathy Winans, the regional vice president for United Health Care Medicare plans, about this year's open enrollment, which runs from Oct. 15 through Dec. 7. 

Florida hospitals had strong profits last year, according to an analyst's report, and so did its HMOs, especially those that specialize in Medicare patients.

Wikimedia Commons

Insurers for more than 600,000 Floridians will have to rebate some of the premium from last year because they didn’t comply with the spending rules in the Affordable Care Act, according to federal health officials.

Employees of the Pinellas Sheriff's Office and Pinellas County government will get some help to pay for out-of-network costs if they want to keep going to BayCare facilities, which no longer contract with UnitedHealthcare.

Taxpayers at Risk in United-BayCare Fight

Dec 9, 2012
WFLA

Angry workers who are being forced to switch hospitals and doctors because their employer offers only UnitedHealth networks are unloading on their employers, and the employers unloaded their own anger at a press conference on Friday.

Among the employers are a number of government agencies, whose leaders said the impasse may result in higher health costs and higher taxes.

Sarah Pusateri covered the press conference for Health News Florida. Here is a transcript of her report: 

BayCare-United Secrecy Hurts, Experts Say

Nov 29, 2012

The contract dispute between BayCare Health System and UnitedHealthcare forced 74-year-old Mike Dellmore to choose between his doctors and his insurance plan. It was a no-brainer.

"I've got certain doctors I like, and I'm not gonna lose them," the Clearwater retiree said. " I don't care. If I get sick, I'll have to go to another hospital, and there are some hospitals in the area -- and I'm not going to mention no names -- I wouldn't take my dog to."