$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 Group, the 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
New definition of Diabetic Ketoacidosis (DKA): Coding, auditing, and CDI professionals take note
By Brian Murphy The clinical definition of diabetic ketoacidosis (DKA) is changing. CDI and coding professionals take…
Talking tech, CAPD with Intermountain Health’s Kory Anderson
Technology. I’m of a mixed mind. Broadly, I think technology is a blessing for humanity. It saves…