united healthcare http://ripr.org en Have Your Say About Health Insurance Rates http://ripr.org/post/have-your-say-about-health-insurance-rates <p>Health insurers have filed their requests for rate increases (or, in one case, decreases!) for the coming year (effective January 2015). The Office of the Health Insurance Commissioner reviews those requests to make sure they're fair, and then issues a ruling, probably by mid-July. Before then, <em>you </em>have an opportunity to weigh in.</p><p>Here are the details on those opportunities, plus OHIC's summary of what insurers have requested.</p> Thu, 12 Jun 2014 17:58:40 +0000 Kristin Gourlay 35067 at http://ripr.org In Network, Out-Of-Network: What It Means, Why It Matters http://ripr.org/post/network-out-network-what-it-means-why-it-matters <p>When it comes to health insurance, "in-network" means a provider or facility that's contracted with your insurer to provide services at an agreed-upon rate. "Out-of-network" means a provider or facility that doesn't have an agreement with your insurer. Whether in-network or out-of-network providers and facilities are covered, and to what extent, depends on your particular health insurance plan.</p> Thu, 24 Apr 2014 18:42:08 +0000 Kristin Gourlay 32572 at http://ripr.org United Healthcare, Landmark Await Ruling On Network http://ripr.org/post/united-healthcare-landmark-await-ruling-network <p>The public comment period has ended and now the Rhode Island health department must decide whether United Healthcare can cut Landmark Medical Center from its insurance network. The decision could affect thousands of patients.</p> Thu, 24 Apr 2014 17:59:38 +0000 Kristin Gourlay 32569 at http://ripr.org United Healthcare, Landmark Await Ruling On Network Medicare Advantage Plan Members Can Opt Out If Plans Drop Doctors Without Cause http://ripr.org/post/medicare-advantage-plan-members-can-opt-out-if-plans-drop-doctors-without-cause <p>New rules for Medicare Advantage plan members give seniors more flexibility to opt out of plans that drop their doctors from the network.</p><p></p><p>The Centers for Medicare and Medicaid Services has announced that Medicare Advantage plan members will be able to switch plans if those plans drop doctors mid-year without cause. These are Medicare plans offered by private insurance companies and often operate like HMOs.</p> Wed, 09 Apr 2014 18:48:06 +0000 Kristin Gourlay 31785 at http://ripr.org Medicare Advantage Plan Members Can Opt Out If Plans Drop Doctors Without Cause CT Docs Vs. United Healthcare: Will RI Docs Follow Suit? http://ripr.org/post/ct-docs-vs-united-healthcare-will-ri-docs-follow-suit <p>Connecticut doctors sued United Healthcare for dropping them from their Medicare Advantage network. Will Rhode Island follow suit?</p><p>Probably not, says Steven DeToy with the Rhode Island Medical Society. He told me he thinks it's unlikely the doctors will have any luck in court because United had the right to drop doctors - it's in their contract. And if they did, it could get expensive and messy: doctors could be responsible for half the cost of mediation if it comes to that.</p> Tue, 10 Dec 2013 18:06:40 +0000 Kristin Gourlay 26050 at http://ripr.org Federal Judge in CT Blocks United From Dropping Docs http://ripr.org/post/federal-judge-ct-blocks-united-dropping-docs <p>A federal judge in Connecticut is blocking United Healthcare’s move to drop hundreds of doctors from its Medicare Advantage network.</p><p>The Hartford Courant <a href="http://www.courant.com/news/connecticut/hc-united-health-care-doctors-1206-20131206,0,1027686,full.story">reports </a>that the Fairfield and Hartford County Medical Associations convinced the court that removing the more than 2-thousand doctors in Connecticut from the health insurance network would be too damaging. And that the insurer plans to appeal the decision.</p> Fri, 06 Dec 2013 20:37:27 +0000 Kristin Gourlay 25886 at http://ripr.org United's Medicare Move: More Limited Choice Ahead? http://ripr.org/post/uniteds-medicare-move-more-limited-choice-ahead <p>RIPR health care reporter Kristin Gourlay joined host Dave Fallon in the studio to talk about what United Healthcare's recent decision to drop several hundred doctors from its Medicare Advantage plan means for the 36,0000 or so Rhode Islanders in that plan. Following is a transcript of their conversation, and a link to listen.</p><p></p> Mon, 25 Nov 2013 22:00:00 +0000 Kristin Gourlay 25313 at http://ripr.org United's Medicare Move: More Limited Choice Ahead? Hundreds Of Doctors Cut From United’s Medicare Advantage Network http://ripr.org/post/hundreds-doctors-cut-united-s-medicare-advantage-network <p>The Rhode Island Medical Society said United Healthcare has cut hundreds of doctors from its Medicare Advantage network. The plan covers some 36,000 Rhode Island seniors.</p><p></p><p></p> Wed, 20 Nov 2013 21:03:45 +0000 Catherine Welch 25125 at http://ripr.org Hundreds Of Doctors Cut From United’s Medicare Advantage Network Kilmartin, Fine Urge United Healthcare To Reinstate Doctors http://ripr.org/post/kilmartin-fine-urge-united-healthcare-reinstate-doctors <p>Rhode Island Attorney General Peter Kilmartin and Health Department director Michael Fine have sent a letter to the CEO of United Healthcare New England expressing their concern over the insurer’s dropping of dozens of doctors from its managed Medicare plan in the state. They want United to reinstate doctors until they submit a plan to handle the transition.</p> Fri, 15 Nov 2013 21:13:47 +0000 Kristin Gourlay 24901 at http://ripr.org Doctors Dropped From Medicare Ask State Leaders For Help http://ripr.org/post/doctors-dropped-medicare-ask-state-leaders-help <p>United Healthcare has notified an unknown number of Rhode Island doctors that they’re being cut from its Medicare Advantage plan network. The news comes during Medicare’s open enrollment period and could affect thousands of senior citizens in the Ocean State.</p> Wed, 23 Oct 2013 21:03:52 +0000 Kristin Gourlay 23683 at http://ripr.org Doctors Dropped From Medicare Ask State Leaders For Help