$91 Million Case Against Nation’s Largest Insurer is a ‘Clear Win’ for Patients

““That’s the key takeaway, experts say, after a California Supreme Court decision in early January paved the way for the state to collect $91 million in fines from the UnitedHealthcare Groupthe nation’s largest insurance company.

“It’s a clear win for consumers,” said Ben Handel, a health care economics professor at the University of California, Berkeley. “This seems like a case where [UHC] was way over the line.”

The decision is the latest twist in a decade-long fight between the California insurance commissioner’s office and UHC. The office found more than 900,000 violations involving patient claims and other issues against UHC subsidiary PacifiCare around the time of their 2005 merger. It was those violations at the heart of the dispute.””

See the full article here: https://www.cnn.com/2019/01/28/health/california-supreme-court-insurance-commissioner-decision/index.html

Related News & Insights

Bridging divides: Leif Laframboise on merging the clinical and financial through data

Listen to the episode here: https://spotifyanchor-web.app.link/e/n2tsZSPmCMb Bridging the gap between clinical and financial worlds is the goal…

Read More read more

Norwood MS-DRG audit results in substantial DNFB reduction, missed revenue opportunities

Even with the rapid growth of risk adjusted payments, Medicare Severity DRGs (MS-DRGs) remain the principal reimbursement…

Read More read more