Suzanne York

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE THIRD QUARTER OF 2023

Following strong profits in 2022 and in the first half of 2023, UnitedHealth Group (“United”) again reported strong profits for the third quarter of 2023, with double-digit revenue growth at both UnitedHealthcare and Optum. United posted profits of $5.8 billion for the third quarter, an 11% increase from the prior year quarter.  United also posted …

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE THIRD QUARTER OF 2023 Read More »

IN CONTRAST TO PROVIDERS, HEALTH INSURERS OPPOSE EFFORTS TO IMPROVE MENTAL HEALTH PARITY RULES

At a time when the nation is facing a mental health crisis, health insurers have sharply criticized the Administration’s proposed mental health parity rules issued under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (“the MHPAEA”). Unfortunately, these criticisms represent an additional effort by health insurers to pad …

IN CONTRAST TO PROVIDERS, HEALTH INSURERS OPPOSE EFFORTS TO IMPROVE MENTAL HEALTH PARITY RULES Read More »

ELEVANCE HEALTH (ANTHEM) POSTS STRONG THIRD QUARTER PROFITS, BEATING ANALYSTS’ EXPECTATIONS

Elevance Health, Inc. (formerly known as Anthem) reported strong third quarter 2023 profits of $1.3 billion, beating analysts’ expectations. Operating gain, excluding adjustment items, grew 12.6% year over year to $2.5 billion.  Elevance also reported strong third quarter operating revenues, which grew 7.2% over the prior year quarter to $42.5 billion. In its health benefits …

ELEVANCE HEALTH (ANTHEM) POSTS STRONG THIRD QUARTER PROFITS, BEATING ANALYSTS’ EXPECTATIONS Read More »

BECKER’S HEALTHCARE REPORTS THAT HOSPITALS ARE TERMINATING THEIR MEDICARE ADVANTAGE CONTRACTS DUE TO DENIALS AND DELAYS IN PAYMENT

Becker’s Healthcare has published an article headlined “Hospitals are dropping Medicare Advantage left and right” due to denials and late payments. As the president and CEO of Scripps Health, Chris Van Gorder, stated in the article: “It’s become a game of delay, deny and not pay.” The article also cites the example of the St. …

BECKER’S HEALTHCARE REPORTS THAT HOSPITALS ARE TERMINATING THEIR MEDICARE ADVANTAGE CONTRACTS DUE TO DENIALS AND DELAYS IN PAYMENT Read More »

HHS ISSUES PROPOSED RULES ON FEES FOR THE INDEPENDENT DISPUTE RESOLUTION PROCESS UNDER THE NO SURPRISES ACT

The Departments of Health and Human Services, Labor and the Treasury (“the Departments”) have issued proposed rules governing the establishment of fees for the Independent Dispute Resolution (“IDR”) process under the No Surprises Act.  The new rules were necessitated after a federal court struck down the previous increased fee of $350, which had been challenged …

HHS ISSUES PROPOSED RULES ON FEES FOR THE INDEPENDENT DISPUTE RESOLUTION PROCESS UNDER THE NO SURPRISES ACT Read More »

HEALTH INSURERS CONTINUE TO REAP STRONG PROFITS IN 2023

After a highly profitable 2022, the nation’s health insurers continue to reap strong profits in 2023.  The major health insurers have all reported on their second quarter earnings and they all reported strong earnings. Of the nation’s largest health insurers, UnitedHealth Group posted the highest profits for the second quarter 2023 with $5.5 billion in …

HEALTH INSURERS CONTINUE TO REAP STRONG PROFITS IN 2023 Read More »

THE GOVERNMENT IS POISED TO PAY MEDICARE ADVANTAGE PLANS AT LEAST $12.8 BILLION IN QUALITY BONUS PAYMENTS IN 2023

The Kaiser Family Foundation has reported that the federal government is poised to pay Medicare Advantage plans at least $12.8 billion in quality bonus payments this year, an increase of 30% over 2022.  Annual bonus payments to Medicare Advantage plans have increased every year since 2015. According to the report, UnitedHealthcare will receive $3.9 billion, …

THE GOVERNMENT IS POISED TO PAY MEDICARE ADVANTAGE PLANS AT LEAST $12.8 BILLION IN QUALITY BONUS PAYMENTS IN 2023 Read More »

IN A WIN FOR THE TEXAS MEDICAL ASSOCIATION FEDERAL COURT STRIKES DOWN FEE INCREASE AND BATCHING RULE FOR THE NO SURPRISES ACT ARBITRATION PROCESS

For the third time, United States District Court Judge Jeremy D. Kernodle of the Eastern District of Texas has struck down certain rules implementing the arbitration process under the No Surprises Act (“the Act”) after a challenge by the Texas Medical Association (“the TMA”). Specifically, the Court struck down CMS guidance increasing the fee for …

IN A WIN FOR THE TEXAS MEDICAL ASSOCIATION FEDERAL COURT STRIKES DOWN FEE INCREASE AND BATCHING RULE FOR THE NO SURPRISES ACT ARBITRATION PROCESS Read More »

MOUNT SINAI OPENS LEGAL CLINIC FOR BREAST CANCER PATIENTS

The Mount Sinai Medical Legal Partnership (“MSMLP”) has opened a legal clinic for Mount Sinai Health System breast cancer patients needing legal assistance to navigate issues arising from their diagnoses, including issues relating to unemployment, housing, social security benefits and end-of-life documents. In a press release, MSMLP’s Executive Director Allison Charney stated: “We want all …

MOUNT SINAI OPENS LEGAL CLINIC FOR BREAST CANCER PATIENTS Read More »

Scroll to Top