Robert Zirkelbach News
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U.S. hospitals are charging prices that can be thousands of dollars different for the same medical procedures, even within the same towns, according to federal data released today.
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UnitedHealth Group Inc. is among insurers that have told the Obama administration a proposed reduction in U.S. payments for Medicare Advantage plans relies on the faulty assumption that doctors’ fees will fall.
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California and Vermont are the only states set to require medical insurers to bid for the chance to sell coverage through new exchanges being set up this year under the Obama administration’s health-care overhaul.
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The number of requests by health insurers for double-digit rate increases fell about 41 percentage points since the end of 2009, according to a U.S. report that cited the success of the health-care overhaul.
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Health insurers that offer private plans in the U.S. Medicare program for the elderly and disabled were overpaid by as much as $5.1 billion over the past three years, government auditors said.
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UnitedHealth Group Inc., the biggest U.S. health insurer, will face a fragmented regulatory landscape in 2014 under the first state insurance marketplaces approved as part of the health-care overhaul.
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WellPoint Inc. , Aetna Inc. , Humana Inc. and UnitedHealth Group Inc. denied health coverage to 49 percent more people over the past two years, citing pregnancy or plans for adoption among their reasons, a U.S. report found.
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UnitedHealth Group Inc., WellPoint Inc. and other health insurers may have to forfeit to consumers $1.2 billion to $1.3 billion in profits from last year because of changes to U.S. law that limit revenue from premiums.
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More than half of the state exchanges to be created under the 2010 U.S. health-care overhaul are expected to be run by the federal government, offering insurers and consumers uniform criteria in those areas.
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Insurers led by UnitedHealth Group Inc. and Humana Inc. may share in an estimated $2.5 billion in yearly bonuses if their U.S-backed Medicare plans rate four or five stars under a system created to improve quality of care.
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