UnitedHealth Group, the nation’s largest health insurer, will stop paying agents and brokers to enroll seniors it doesn’t want in its Medicare Advantage plans.
What won't these people do for Money?!! We need Universal Healthcare, and get rid of Healthcare for Profit. Thank you, Wendell, and will reStack ASAP 💯👍
Of all the healthcare insurance companies, United Health is the most corrupt and dishonest. They want you to pay the most out of pocket and most coinsurance percentage. The fact that AARP endorses United should tell you lots about AARP. It is a corrupt sales organization. Questionable practices. The only thing worse than going with United Healthcare is going with United Healthcare Medicare Advantage .
The problem is caring for seniors IS expensive. The for profit model doesn’t work here. That’s why I’m holding on to my original Medicare. I agree Universal healthcare is the way to go— as long as it is properly funded and administered.
This is the system that the City of New York and the Mayor are trying to force on the city employee retirees. Medicare Disadvantage is NOT what they want.
Medicare Advantage is private health insurance that the Government buys for those who select it. So it's covered by the terms of the insurer's SECRET Provider Contracts the same as the insurance we get from an employer or buy on the open market. So, why aren't we SCREEMING to see these Contracts? WHY? Or go to <www.killAbill.com> and follow the link to read one. - - - You can only get what the Contract allows, so read one.
Thanks for another glimpse into the public policy fraud perpetrated by those who have advocated "market-based" policies as a solution to the problems of cost, access, and quality that plague US medical care. I was once among them until the day came (some 30 years ago) when I could no longer live with myself if I had to explain one more time to a reported why denying people coverage was sound public policy.
Why do I say public policy fraud? Because it is difficult, but not necessarily impossible, to enlist 'constructive competition' (and 'constructive cooperation' — which should be distinguished from destructive collusion) and the pursuit of 'enlightened self-interest' in a policy that promotes arrangements for the organization, financing, and delivery of medical services that achieves the goals of universal access to high quality medical care at an affordable cost.
But those policies are NOT what have been advanced as part of "market-based" under the guise of "managed competition". Instead what we got was competition without the management. And the competition isn't on the basis of cost and quality. It's on the basis of risk selection/avoidance, the use of market power to extract price concessions, and the use of data analysis to inflate risk scores. And why is that? Because the product of an investor-owned health care corporation isn't medical care. It isn't medical coverage. It is the stock being traded in the distinctly non-medical securities markets. And the price of the — what investors will pay for it — is the long-run difference between what people will pay for coverage and what it costs to provide that coverage.
They will have record profit again in a couple of months. They have increased their escalation list to the medical directors . That means those 124 diagnosis that are most common to everyone. Most hospital use very generic diagnosis when admitting their patients like Respiratory Failure or Congestive Heart Failure, etc. The Emergency Room doctor and/or Admitting physician that begins book one. 80 year old who has not been able to breathe for a month and now it’s is worsened to the point they there not able to breathe without a taxing effort . Well guess what? The insurance company does not care if she can’t breathe. First if you didn’t haul yourself over to your Primary Doctor that’s your fault. And if you didn’t haul yourself and he did not fix you well that still your fault. So your in the emergency and they treat u and the ED doctor says you improved. So why aren’t u going home. So now he wants to admit you for a stay. What for. He says your better and your saturations improved. So this will be denied. The nurse doing the initial review will document that you improved. You don’t meet clinical guidelines to be admitted and you may have 50 other diagnosis but for the purpose of this admission they mean nothing. So a chart of over 100 pages of documentation mean nothing. You could not breathe, after some steroids and a breathing treatment, now u can. 2 sentences. Denied.
Brokers and such are definitely on the chopping block in the new Agentic AI driven world.
This will plug a sizable hole in the total healthcare spend by removing these dollar sucking roles.
There is literally no reason to have these roles anymore as conversational AI can do exponentially more work at a fraction of the cost when it comes to helping people and entities find care.
Best of all, unlike human Brokers and Agents, AI driven agents don’t lie and don’t have political agendas.
And save the comments about AI “bias”.
If you can’t technically explain it in 5 sentences or less, you don’t understand it. And even if you can, I’ll take potential minor machine bias over human bias any day of the week.
As long as they have AARP to sell for them. Otherwise United will get no new business. Their future is not great , although they are going around the country buying up pharmacies, doctors offices and medical clinics. They are the biggest ripoff company in the business.
What won't these people do for Money?!! We need Universal Healthcare, and get rid of Healthcare for Profit. Thank you, Wendell, and will reStack ASAP 💯👍
Of all the healthcare insurance companies, United Health is the most corrupt and dishonest. They want you to pay the most out of pocket and most coinsurance percentage. The fact that AARP endorses United should tell you lots about AARP. It is a corrupt sales organization. Questionable practices. The only thing worse than going with United Healthcare is going with United Healthcare Medicare Advantage .
Predatory ghouls.
The problem is caring for seniors IS expensive. The for profit model doesn’t work here. That’s why I’m holding on to my original Medicare. I agree Universal healthcare is the way to go— as long as it is properly funded and administered.
Everyone invested in or getting paid by for profit private health insurance corporations are in on this corporate welfare Republican Ponzi scheme.
Change to Medicare for ALL act, universal care, single payer or all of the above.
I have never had such great insurance as i have use original Medicare and Supplement F. I would recommend it to anyone who is eligible.
And you can utilize local councils on aging for advice. Brokers do not always give the best advice
They still don’t want to pay for healthcare.
In the meantime, let’s screw the brokers and agents, who have been there to help us through the healthcare maze.
Exactly right!
This is the system that the City of New York and the Mayor are trying to force on the city employee retirees. Medicare Disadvantage is NOT what they want.
Medicare Advantage is private health insurance that the Government buys for those who select it. So it's covered by the terms of the insurer's SECRET Provider Contracts the same as the insurance we get from an employer or buy on the open market. So, why aren't we SCREEMING to see these Contracts? WHY? Or go to <www.killAbill.com> and follow the link to read one. - - - You can only get what the Contract allows, so read one.
It burns my soul just thinking about how these ghouls prioritize profits over people
Thanks for another glimpse into the public policy fraud perpetrated by those who have advocated "market-based" policies as a solution to the problems of cost, access, and quality that plague US medical care. I was once among them until the day came (some 30 years ago) when I could no longer live with myself if I had to explain one more time to a reported why denying people coverage was sound public policy.
Why do I say public policy fraud? Because it is difficult, but not necessarily impossible, to enlist 'constructive competition' (and 'constructive cooperation' — which should be distinguished from destructive collusion) and the pursuit of 'enlightened self-interest' in a policy that promotes arrangements for the organization, financing, and delivery of medical services that achieves the goals of universal access to high quality medical care at an affordable cost.
But those policies are NOT what have been advanced as part of "market-based" under the guise of "managed competition". Instead what we got was competition without the management. And the competition isn't on the basis of cost and quality. It's on the basis of risk selection/avoidance, the use of market power to extract price concessions, and the use of data analysis to inflate risk scores. And why is that? Because the product of an investor-owned health care corporation isn't medical care. It isn't medical coverage. It is the stock being traded in the distinctly non-medical securities markets. And the price of the — what investors will pay for it — is the long-run difference between what people will pay for coverage and what it costs to provide that coverage.
They will have record profit again in a couple of months. They have increased their escalation list to the medical directors . That means those 124 diagnosis that are most common to everyone. Most hospital use very generic diagnosis when admitting their patients like Respiratory Failure or Congestive Heart Failure, etc. The Emergency Room doctor and/or Admitting physician that begins book one. 80 year old who has not been able to breathe for a month and now it’s is worsened to the point they there not able to breathe without a taxing effort . Well guess what? The insurance company does not care if she can’t breathe. First if you didn’t haul yourself over to your Primary Doctor that’s your fault. And if you didn’t haul yourself and he did not fix you well that still your fault. So your in the emergency and they treat u and the ED doctor says you improved. So why aren’t u going home. So now he wants to admit you for a stay. What for. He says your better and your saturations improved. So this will be denied. The nurse doing the initial review will document that you improved. You don’t meet clinical guidelines to be admitted and you may have 50 other diagnosis but for the purpose of this admission they mean nothing. So a chart of over 100 pages of documentation mean nothing. You could not breathe, after some steroids and a breathing treatment, now u can. 2 sentences. Denied.
This is great news!
Brokers and such are definitely on the chopping block in the new Agentic AI driven world.
This will plug a sizable hole in the total healthcare spend by removing these dollar sucking roles.
There is literally no reason to have these roles anymore as conversational AI can do exponentially more work at a fraction of the cost when it comes to helping people and entities find care.
Best of all, unlike human Brokers and Agents, AI driven agents don’t lie and don’t have political agendas.
And save the comments about AI “bias”.
If you can’t technically explain it in 5 sentences or less, you don’t understand it. And even if you can, I’ll take potential minor machine bias over human bias any day of the week.
As long as they have AARP to sell for them. Otherwise United will get no new business. Their future is not great , although they are going around the country buying up pharmacies, doctors offices and medical clinics. They are the biggest ripoff company in the business.
Yeah, totally agree.
109b in revenue in Q1 against 1.4b in earnings.
EPS of $1.53 down from $5.94 EPS IN Q1 2024.
No wonder they’re getting out of MA with an MCR of 85.2% and trying to get into the provider side.
Even so, the cyber attack on Change Healthcare cost them 1b on the Optum side compared to last year.
I wouldn’t be surprised to see them get out of Optum altogether and go back to focusing on their core business.
People always make a huge deal of the top line revenue, but they’re just a mammoth company running on a razors edge.
Maybe Elon will buy them and get into the healthcare business 😂