This is Part4 of The Guardian’s investigation into UnitedHealth Group. UnitedHealth promotes its nursing home programs as beneficial and offers residents access to UnitedHealth NPs both in person and remotely, which they claim will reduce “unnecessary” hospitalizations. This profits UnitedHealth, as these costly hospitalizations expose patients to further treatment, leading to increased costs for the
This is Part 3 of The Guardian’s investigation into UnitedHealth Group. Internal emails show that UnitedHealth supervisors gave their teams “budgets” that showed how many hospital admissions they had “left” to use on nursing home residents. Additionally, two current and three former UnitedHealth NPs told the Guardian that managers from UnitedHealth pressured NPs to lie
This is Part 2 of The Guardian’s investigation into UnitedHealth Group. To reduce residents’ hospital visits, UnitedHealth has offered nursing homes a variety of “financial sweeteners.” Over the last seven years, the company has produced “Premium Dividend” and “Shared Savings” payments that boost nursing homes’ bottom lines. UnitedHealth offered a larger cut to nursing homes’
The Guardian investigated the nation’s largest healthcare conglomerate, UnitedHealth Group. Under Medicare Advantage, insurers like UnitedHealth receive lump sums from the government to cover senior care. They profit as the less they spend on that care, the more money they can keep. This is what UnitedHealth is capitalizing on, especially within the long-term care sector.
The article from Health Leaders Media discusses the likely ramifications of proposed Medicaid cuts by Trump Republicans on nursing homes. The proposed cuts aim to reducing billions of dollars from Medicaid funding. Medicaid is the main payer for long term care including nursing homes. Medicare only covers short term medical expenses and rehabilitation for older Americans.
Skilled Nursing News reported that legislation was recently reintroduced to Congress for the third time last week in hopes of streamlining and improving outdated prior authorization processes for Medicare Advantage (MA). This bipartisan bill, reintroduced by many lawmakers, including Representative Ami Bera (D-CA), continues to draw widespread backing and support from various lawmakers. The Improving
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