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United unveils coverage to retroactively deny affected person ED claims

A controversial new UnitedHealthcare coverage meant to tamp down on emergency division visits and prices has drawn ire from suppliers, whereas insurance coverage analysts query what, if any, influence the regulation could have.

Come July 1, the Minnetonka, Minn.-based insurer mentioned it would take a extra cautious view of its 26.3 million industrial sufferers’ emergency division visits, reviewing their preliminary motive for visiting the ED, the diagnostic and different providers offered in the course of the go to and the end result of the expertise, when deciding whether or not to approve—or deny—affected person claims. UnitedHealthcare, the nation’s largest well being insurer, mentioned it made the transfer to chop down on the $32 billion pointless ED use prices yearly, driving up healthcare prices for all.

“We’re taking steps to make care extra inexpensive, encouraging individuals who shouldn’t have a healthcare emergency to hunt remedy in a extra applicable setting, corresponding

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