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.
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.
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.
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.
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.
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.
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.