united healthcare

The Pulse
1:58 pm
Thu June 12, 2014

Have Your Say About Health Insurance Rates

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, you have an opportunity to weigh in.

Here are the details on those opportunities, plus OHIC's summary of what insurers have requested.

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The Pulse
2:42 pm
Thu April 24, 2014

In Network, Out-Of-Network: What It Means, Why It Matters

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.

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Health Care
1:59 pm
Thu April 24, 2014

United Healthcare, Landmark Await Ruling On Network

Landmark Medical Center in Woonsocket is only a few months into its new chapter as a for-profit hospital.
Credit Kristin Gourlay / RIPR

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.

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Health Care
2:48 pm
Wed April 9, 2014

Medicare Advantage Plan Members Can Opt Out If Plans Drop Doctors Without Cause

Seniors with Medicare Advantage have more flexibility to opt out of plans, thanks to new rules.
Credit Aaron Read / RIPR

New rules for Medicare Advantage plan members give seniors more flexibility to opt out of plans that drop their doctors from the network.

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.

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The Pulse
1:06 pm
Tue December 10, 2013

CT Docs Vs. United Healthcare: Will RI Docs Follow Suit?

Connecticut doctors sued United Healthcare for dropping them from their Medicare Advantage network. Will Rhode Island follow suit?

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.

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Health Care
3:37 pm
Fri December 6, 2013

Federal Judge in CT Blocks United From Dropping Docs

A federal judge in Connecticut is blocking United Healthcare’s move to drop hundreds of doctors from its Medicare Advantage network.

The Hartford Courant reports 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.

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Health Care
5:00 pm
Mon November 25, 2013

United's Medicare Move: More Limited Choice Ahead?

United Healthcare is dropping hundreds of doctors in Rhode Island

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.

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Health Care
4:03 pm
Wed November 20, 2013

Hundreds Of Doctors Cut From United’s Medicare Advantage Network

United Healthcare logo

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.

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Health Care
4:13 pm
Fri November 15, 2013

Kilmartin, Fine Urge United Healthcare To Reinstate Doctors

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.

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Health Care
5:03 pm
Wed October 23, 2013

Doctors Dropped From Medicare Ask State Leaders For Help

Credit Wikimedia Commons

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.

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