Uncovered.health
The Individual Marketplace: What we know now
WebAs a result, the individual market is currently in a “high profitability” stage of the typical health plan underwriting cycle. In 2017, the combined individual market had an estimated loss of $3.4 billion. By 2019, the combined individual market had an estimated gain of $4.6 billion, an over $8 billion swing in profitability in two years.
Actived: 2 days ago
URL: https://www.uncovered.health/features/the-individual-marketplace-what-we-know-now/
Is it just us, or are claim denials on the rise
WebOver the past year, hospitals across the nation have experienced a rise in denied medical claims from insurance companies. According to a recent article in Modern Healthcare, approximately 67% of healthcare leaders have seen an increase in claim denials. (For comparison, in 2021, only 33% of hospital executives reported an increase.
Three Big Health Insurance Myths
WebMyth 2: Our employer-based system of health coverage works beautifully, and we can count on it to be there when we need it. That myth was busted big time last year when we witnessed millions of Americans losing their coverage along with their jobs during the pandemic. The truth is that most people who have employer-sponsored insurance (ESI) …
Optum strikes its biggest hospital deal yet
WebA subsidiary of UnitedHealthcare, Optum has inked its largest health system deal yet, Healthcare Dive reports. After another successful quarter (if you’re a shareholder, that is), Optum’s partnering with the Catholic, not-for-profit health system SSM Health on healthcare technology back-end function, including inpatient care management
Un-covered to Reach Broader Audiences with Formidable Backing
WebUn-covered was birthed from this sentiment – a desire to expose those who take advantage of patients and providers in the interest of making a buck. Since our founding, we’ve received a wave of positive responses from patients and policymakers alike. And we’ve met some allies along the way. We found that there are some people out there
Why does UnitedHealthcare seem to have such trouble covering …
WebOn the heels of a traumatic, COVID-ridden three years, overdoses have spiked, and substance abuse disorders are rising. And despite being federally required to cover mental healthcare at the same level as physical care, insurers are still putting up roadblocks for treatment.
Category: Mental health Go Health
Optum sets its sights on Massachusetts’ largest
WebOptum sets its sights on Massachusetts’ largest independent physician group. On January 12, Becker’s Hospital Review reported that Optum is in talks to buy Atrius Health, a non-profit, 715-physician group in Massachusetts. Here's how this acquisition fits into the flurry of recent news stories about Optum. When we look at the trend toward
A closer look at Optum, United’s fastest growing business
WebIn the Fierce Healthcare piece, Andrew Witty, who is the CEO of both Optum and UnitedHealth Group, muses about Optum’s “untapped potential.”. We have to wonder what could possibly be left to tap, considering that Optum’s 2020 revenue topped $136 billion. As it turns out, Witty has some ideas. One is growing Optum’s focus on value
A deep dive into the risks of the UnitedHealth and Change …
WebIn January 2021, UnitedHealthcare (United) subsidiary Optum announced its intention to purchase the tech company Change Healthcare (Change) for $13 billion. For background, Change Healthcare is an enormous administrative network that processes claims and medication requests for physicians and pharmacies. In other words, it’s a …
Optum takes its joint ventures to the next (vertical) level
WebAnd this venture into media – called RVO Health – is just one more way of achieving Big Health Insurer status. The execs have made their plans pretty clear – according to the article, they want to make “Optum the ‘front door’ to the parent company, which also operates UnitedHealthcare, the largest U.S. health insurer.”.
The five most important things to know about Cigna’s newly …
WebThe five most important things to know about Cigna’s newly branded health services unit, Evernorth. On November 17, 2020, Becker's Hospital Review disected Evernorth, Cigna's newly branded health services unit and provided the five most important things to know about it.
Blues Plan Switches to a United-Owned PBM Un-covered
WebBlue Cross Blue Shield of Michigan and Blue Care Network recently announced they are switching from Express Scripts (owned by Cigna) to OptumRx (owned by UnitedHealth Group) with the intention of reducing prescription costs and more effectively delivering services to members. Sure, switching to a larger PBM owned by one of the …
Three Health Plan Predictions for 2022
WebHere are three health plan predictions for the year ahead. In 2022, the big six for-profit insurers (Anthem, Centene, Cigna, CVS/Aetna, Humana and UnitedHealth), will become bigger, more profitable, and more powerful than ever.Executives at UnitedHealth, which didn’t even exist as a public company until 1985, recently told investors and Wall
Update on United's Acquisition of Change Healthcare: …
WebIn early January, we shared our point of view on UnitedHealthcare’s planned acquisition of the data company, Change Healthcare. To no one’s surprise (at least not ours), there is some controversy surrounding the acquisition and its impact on various stakeholders, as well as the healthcare industry as a whole.
2020 Trust Index Un-covered
WebAnalysis and insights. In October 2020, we collected data from 127 health system executives, managed care professionals, and financial officers. Our survey participants represent almost 40 percent of the hospitals in the United States. This year, analysis and insights are brought to you by Un-covered, a space that is dedicated solely to
In every way, Optum is getting bigger. And bigger, and bigger
WebOptum. • 90%: American hospitals use its OptumInsights service. • $65 billion: Annual amount managed by its Optum 360 division. • 1,450: Number of neighborhood clinics tied to Optum Care, including upwards of 53,000 physicians (with plans to add 10,000 more in 2021) • $10.5 billion: OptumHealth Q3 2020 revenue reported (an increase of
This year, insurers are pulling record-breaking profits. Next year, …
WebMore Evidence. Insurance companies continue to squeeze dollars out of Medicare Advantage November 15, 2023 Deflecting blame is an insurer’s specialty October 31, 2023 Expect to be denied: Claim denials are on the rise October 23, 2023 Doctors are slapped with fees when opting for electronic funds September 29, 2023 Doctors and …
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