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Minnesota

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progree

(11,541 posts)
Wed Jul 24, 2024, 06:47 AM Jul 2024

HealthPartners leaving UnitedHealthcare's Medicare Advantage network over high claim denial rate [View all]

HealthPartners leaving UnitedHealthcare's Medicare Advantage network over high claim denial rate, 7/23/24

HealthPartners announced Tuesday that it will no longer be part of UnitedHealthcare's Medicare Advantage network starting next year.

The nonprofit healthcare organization says it made the decision because "UnitedHealthcare delays and denies approval of payment for our patients' Medicare Advantage claims at a rate unlike any other insurer in our market." HealthParnters claims its denial rate with UnitedHealthcare has been up to 10 times higher than that of other insurers it works with.

The change applies to care provided at HealthPartners and Park Nicollet clinics and hospitals, including Methodist, Regions and Lakeview hospitals. ((These are all Twin Cities or near Twin Cities locations -Progree))

Last week, 11 people were arrested outside the UnitedHealthcare headquarters in Minnetonka for protesting what they allege is the company's practice of not paying for care.

MORE: https://www.msn.com/en-us/money/insurance/healthpartners-leaving-unitedhealthcare-s-medicare-advantage-network-over-high-claim-denial-rate/ar-BB1qwfgE

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United Health Care has a long history of ripping off their insureds. Irish_Dem Jul 2024 #1
I don't think any health care agency doesn't thrive on denying health care. mucifer Jul 2024 #2
They violate their own written contracts. Irish_Dem Jul 2024 #4
Medicare Advantage gives all advantages to the insurer and few to patients. Lonestarblue Jul 2024 #3
I don't understand this. These two are discrete organizations, I thought, each offering health insurance question everything Jul 2024 #5
I was surprised too. I had Health Partners *insurance* when I was on the ACA in my pre-Medicare days progree Jul 2024 #6
As far as I know Medicare enrollment is not dependent on medical conditions, except for kidney functions question everything Jul 2024 #8
It's strictly a Medicare SUPPLEMENT (Medigap) thing. The 6-month Medigap open enrollment period is once in a lifetime progree Jul 2024 #9
I plan to finally retire next year and will be giving up a very good employer plan dflprincess Jul 2024 #11
Part D - I'm only paying $41/mo on that progree Jul 2024 #13
I don't think my Part D will be too bad dflprincess Jul 2024 #14
The issue isn't reimbursement rates dflprincess Jul 2024 #17
It's the HealthPartners hospital & clinics that will no longer accept UHC's Medicare Advantage plans dflprincess Jul 2024 #10
Odds are, they'll work something out by end of year. Silent Type Jul 2024 #7
Only if UHC decides to start paying claims. dflprincess Jul 2024 #12
My guess is that the docs and hospitals want more money and less hassles. They'll come to an agreement. Silent Type Jul 2024 #16
Hospitals Leave Medicare Advantage Networks as Problems Plague Coverage - about Humana's MA plan being rejected progree Jul 2024 #15
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