Category: News

The headwinds facing group Medicare Advantage growth

The headwinds facing group Medicare Advantage growth

January 02, 2023

NONA TEPPER 

New York City’s struggle to switch more than a quarter-million retired government workers and their dependents from traditional Medicare to private health insurance could set an alarming precedent for employers and insurers banking on the fast-growing group Medicare Advantage program.

YouTube Health expands validation process for health information

YouTube Health expands validation process for health information

October 27, 2022

GABRIEL PERNA 

As it attempts to combat health disinformation, YouTube is allowing certain healthcare professionals to apply for verification.

Starting Thursday, licensed healthcare providers such as doctors, nurses and mental health professionals can apply to make their channels eligible for YouTube’s health product features, which labels them as an authoritative source on a medical topic. It also will promote their videos at the top of someone’s search. 

United Health inks Medicare Advantage deal with Walmart

United Health inks Medicare Advantage deal with Walmart

September 07, 2022

LAUREN BERRYMAN

Walmart will provide preventive care services to UnitedHealth Group Medicare Advantage customers under a 10-year deal the companies announced Wednesday. 

UnitedHealth Group subsidiary Optum’s data and analytics tools will guide Walmart Health clinicians to provide value-based care for Medicare beneficiaries, according to the companies. The initiative will begin in January at 15 Walmart Health locations in Florida and Georgia before expanding elsewhere, and the partners project it eventually will serve hundreds of thousands of patients. The companies also will market a co-branded Medicare Advantage plan in Georgia and Walmart Health Virtual Care will be in-network for some UnitedHealthcare commercial members in January.

‘Not so optimistic:’ Surprise billing arbitrations cause frustration

‘Not so optimistic:’ Surprise billing arbitrations cause frustration

August 30, 2022

MAYA GOLDMAN 

The surprise billing arbitration process has gotten off to a rocky start. 

Insurers are accusing providers of submitting every possible claim, even when they know some cases are not eligible for mediation. Providers allege insurers are holding up the federal dispute process by delaying submissions of clear and complete information. The recently published final rule on the process from the Health and Human Services, Labor and Treasury departments likely will not resolve all these problems.