spg1... | The potential for this sort of thing happening in the current health care funding model is very broad. UHC just is the most devious putting claim avoidance over doing the right thing. |
smit... | The privatization of medicare has left our elderly vulnerable to corporate practices that maximize their profit, over providing prompt and efficacious care. |
bret... | They are cheaters |
mbsb... | This is exactly why Medicare should not have any part that is privatized. The goal of the program moves from quality care for seniors to profit maximization for corporations. Why is anyone surprised? |
ambl... | As a medical professional, my billing staff can tell you Medicare Advantage plans are an endless source of headaches. For-profit insurance companies should never have been allowed into the Medicare system except as secondaries. |
pegg... | Original Medicare Part A and B are government run and exceptional in that they are the ONLY Medicare plan that is non-profit. Once you had for-profit health care for Medicare patients -- you are open for corruption and fraud. As a Medicare (original) patient, I am so thankful that I never considered going to the for-profit health provider mess. |
paxt... | Assuming there is substance to the allegations, it is no surprise that there are plenty of opportunities to take advantage of such a complex system. |
acpo... | Fraudulent activity |
shar... | Any expensive drugs DR describes are rejected by. Them they just take my money |
mdb3... | We know they’re guilty. |
jrwa... | If you ask physician groups, healthcare providers and/or hospital systems, in most markets, they would agree that UHC is a monopoly and difficult to negotiate with. |
wbil... | They still owe me $ for overpayment of premiums. Dropped UHC for much better alternative that we can trust. |
smne... | Alli a system and it’s management should not be trusted. |
farm... | We have UHC health insurance and their repeated denial of prescriptions and wanting to insert their selves into ours and our doctors medical decisions has us infuriated and stressed. It shouldn’t be that hard given the premiums we pay. We are looking to do insurance another way. Since the ACA we have been limited to the companies for a small business in NE. And our premiums are higher than they ever were before the ACA. |
jrv1... | The affiliation with AARP has been an exportation of seniors all along. Follow the money |
drsh... | My late husband had a Medicare Advantage plan and when he needed cancer care that was only available at MD Anderson in Houston, they denied his coverage, insisting that he be treated here in the DFW area - where that treatment simply was not available. We had to switch him back to traditional Medicare, which further delayed his treatment and contributed to advancing his cancer, a shorter time to death, and decreased quality of life - for both of us. He died 2 years ago yesterday. |
kath... | And this is the company I am insured with. I will be following this. |
rsyp... | UNH was adept at down coding physicians for decades. Upcoding patient data to the Feds seems to be a possible extension of their business behaviors. A 50% market cap haircut speaks volumes. |
ajos... | MA plans benefit the company not the recipient. Very difficult to obtain necessary care if any procedure is requested . |
john... | As a medical professional I have had grave doubts fir years about United’s practices. They are slow to approve needed services and do not EVER put the patient first. In order of priority, it is 1) United CEO 2) United stockholders 3) Practitioners 4) patients |
dimj... | I worked for Medicare, for gov't. We audited these health plans. It is important that they be routinely audited and that CMS has the staff to do this. Rick Scott's company (HCA) cheated Medicare by billions of dollars. They uploaded their claims fraudulently, thus, increasing their reimbursement. HCA reached a significant settlement with the federal government in a Medicare fraud case, agreeing to pay over $1.7 billion in penalties. |
tome... | UHC administration is awful. Had a bad experience with them when they failed to cancel my Advantage coverage but took my premiums for supplemental. When I filed a claim they denied it claiming Advantage didn’t cover it. |
dcdt... | In the 18 months I’ve had UHC I have seen some very disturbing practices around claims payments. I will be eligible for Medicare this year and will not sign up for UHC supplemental insurance. Good riddance. Never again. They are so corrupt. |
hdcr... | Advantage plans are terrible |
matt... | I am a physician with a small practice, many of my patients have this Advantage plan through United Heath.....they are absolutely corrupt. We run into road blocks, denials, fake peer to peer requests, slow payments all the time. |
cf77... | Since when being under investigation makes you guilty? In this country everyone is presumed innocent until proven guilty! United healthcare has been my insurance for years , their people are dedicated and professional! This article sounds like a witch hunt to me! |
btaw... | Where there is smoke, there may be fire, but give them a chance to share their activities. And if they violated law, don’t drop charges like recent DOJ is apt to do |
sara... | Their entire model is built on denying claims and bilking people. Surely this investigation will show similarly crooked capitalism-run-amok |
drty... | They deny most physician request for procedures on patients. |
neil... | Medicare Advantage is the thin edge of privatizing Medicare. United are synonymous of predatory capitalism. Ensure refusal if treatment to enhance profits to the detriment of it's customers. |
danr... | Saved our lives |
jess... | This is a ridiculous question. No health insurance company can be "trusted." |
crna... | My aunt had UH Advantage. She broke her ankle, had surgery, was put in a nursing home. She was non weight bearing for 10 weeks per her MD. UHC denied her phyical therapy stating "she had plateaued." She was still under orders from her MD for non weight bearing on her foot! They wanted her discharged from the facilty when she was still needing to be placed in a chair with a hoyer lift, and still unable to pivot to a potty chair. |
jenn... | Health insurance companies shouldn’t exist. They prevent people from getting timely care or care at all while taking money. Healthcare should be free for all. |
coli... | Trust but verify. |
mdsw... | United Medicare Advantage like all the others takes Medicare funds for their own profit motivated purposes. Corruption is almost always present when such vast funds are available. |
raji... | They are an organized fraud company and have been cheating the providers and their customers in addition to the government ! |
mnel... | I work in the healthcare industry and the business practices by UHC are at a minimum highly questionable and and most likely very criminal and intentional. |
paul... | First, United is not a Health company. They are an insurance company who is known to be an aggressor in their execution of their unique tactics. Secondly, this is not the first time they have been acting fraudulently to meet and exceed their profit goals. |
dave... | I have had coverage by UHC for over 15 years and have found them to be excellent and of high integrity. |
cica... | Want to lower drug prices? Single payer like the rest of the world. Want more reasonable healthcare costs? Single payer like the rest of the world. Do you want to get to waste fraud and abuse out? Single pair, or just like the rest of the world. Grow up America. |
curt... | Crooks |
penr... | i have been a member of their plan for several years and have found no issues with it. this is a witch hunt. |
phil... | There are well known deceptive practices involving Medicare advantage plans. UHC is guilty of using these practices just as other commercial health plans are. All you have to do is follow the money. It’s not rocket science. |
atli... | Medicare patients in the US would be best served and money saved with the elimination of all private Medicare Advantage plans. |
rumr... | "Doubt exists" is way way too mild. |
davi... | United Healthcare is rotten, putting profits over principles |
jkde... | They’ve just found more ways to deny coverage and build their coffers. |
nanc... | I have huge doubts about the whole Medicare Advantage system. Why do we need a middleman? It’s just a way to add costs. |
bill... | Medicare Advantage plans do not seem to be good for the consumer. |
siga... | I work with them and they are not trustworthy. They squeeze and squeeze members and vendors. |
jllm... | The evidence doesn’t look good |
mich... | Insurance companies with Billions in profits is indicative of fraud. Insurance companies are supposed to cover costs and have a profit based on the number of subscribers. Billions in profits mean something is broken. |
greg... | Amazing newsletter. |
jsco... | The large plans are just Banks maximizing returns be restricting appropriate healthcare to seniors. Medicare Advantage is the best solution but administered through regional carriers. Healthcare is personal and local!! |
djsa... | They denied a claim that I’ve never in more than 20 years of insurance including them has ever been denied. They fumbled and won’t admit it. So I get stuck with the bill. |
kare... | No facts presented for you to accuse |
dpot... | Where there is smoke, there is usually fire. The investigation should be complete before any allegations of fraud are finalized. |
pken... | I would only clarify my answer to say that NO doubt exists there is wrong doing. |
vker... | We’ve seen this movie before with different plots…downgrade in STARS rating based on single phone call, 2 other DOJ investigations terminated. Maybe this is different - perhaps nurses identifying medical conditions to increase severity ratings. They would be crazy to jeopardize their integrity but we’ll soon know. |
kcme... | Yes. They take advantage of their patients |
aper... | All they care about is making money. |
zack... | The amount of fraud in our healthcare systems is astounding. The fight from the left to not do anything about it is very telling. |
jcol... | I work in healthcare, at a business level. I have been involved in specific cases, in which UHC attempts to deny claims, where there is absolutely no basis. In one case, I have reason to believe that they manipulated data, to back up their denial. One could fein ignorance on their part. In my opinion, it was a blatant "middle finger" regarding the facts. |