Sitemap - 2024 - HEALTH CARE un-covered

New Senate Report on Prior Authorization in Medicare Advantage Begs a Question: Can Big Insurance Ever Be Regulated Adequately to Ensure Patient Care?

Health Policies For a Possible Second Trump Term As Laid Out In Project 2025 Concern Voters

Insurance Executives Are Getting Rich Off Our Cavities

UnitedHealth Group Has Made $24.5 Billion in Profits This Year (So Far) But Still Takes Beating on Wall Street

Blue Cross Blue Shield To Pay Largest Settlement in U.S. Antitrust Health Care History: $2.8 Billion

Big Health Insurers Have Begun Their Medicare Advantage Blitz

CVSHealth Eyes Breakup: A Reckoning for Corporate Health Care's Vertical Empire

Health Insurers Are Using Venture Capital Investments To Expand Their Reach

Harris Proposes Medicare Expansion for Home-Based Long-Term Care: “It’s About Giving Folks’ Dignity”

Legalized Racketeering? How PBMs Skirt the Law to Rake in Billions

The Humana Wall Street/Medicare Advantage Love Story Seems to Be Ending

White House Announces Plans to Address Medical Debt

Introducing Dr. Seth Glickman

A 50-Year-Old Federal Law Makes It Nearly Impossible to Hold Big Insurance Accountable. I Testified at The Department of Labor About It.

Project 2025: The Quickest Way to Decimate Medicare

NEWSWEEK: Who Longs for the Days Before Obamacare? Trump and Insurance Companies

Commonwealth Fund: The U.S. Health Care System Is an International Embarrassment

Universal Primary Care: The Antidote to Health Reform Paralysis?

Ten States Have Held Out on Medicaid Expansion. It's Left Millions of Americans Without Health Coverage.

Bruised by Government Report, Cigna's Pharmacy Business Sues the Federal Trade Commission

Therapy Patients Stop Treatment After ‘Pre-Payment Reviews’ Swell

Litigator Pries Open Access to Health Plan Info, Helps Improve Fiduciary Duties

Important Reads: New Reporting Details Ghost Networks and Fighting Denials

Her Surgeon Said She Needed The Operation. UnitedHealthcare Said No.

New Netflix Horror Flick “The Deliverance” Tackles Medicaid Troubles, Medical Debt

The Dirty Trick Health Insurers Are Playing That You Don’t Know About

Project 2025’s Medicare Changes Would Restrict Older Americans’ Access to Care and Imperil the Program’s Financial Health

The Most Important Word in The Democratic Party Platform for Health Care

In life, Bill Pascrell Fiercely Bucked Health Insurance Giants During the ACA Debate. Today's Advocates Should See Him as Inspiration.

Republican Calculation: Don't Support Obama's Affordable Care Act

The U.S. Chamber of Commerce: From Fighting Obamacare to Defending Big Pharma

Expect a Firehose of Obamacare Misinformation From Bad Actors, Insurance Industry Operatives

UnitedHealth Group – a Real Life Majin Buu: The Art of Absorbing Everything in Sight

The New Death Panels: Health Care Rationing Via Delays And Denials

Inside The Trump-Affiliated Outfit Trying to Repeal The Affordable Care Act

America’s Seniors Are About to Pay a High Price for Wall Street’s Growing Disenchantment with Medicare Advantage

Governor Tim Walz's Track Record on Medical Debt, Public Option, UnitedHealth Group

While Cigna Saddles Patients with Increasing Out-of-Pocket Requirements, the Company Bought Back $5 Billion of Its Own Stock

Celebrating Medicare’s 59th Birthday Amidst Troubling Trends

Addressing Medical Debt Is Important. Addressing Its Root Causes Is Just As Essential.

Rx Exec on a Mission to Eliminate Unnecessary Middlemen and Slash Generics Spending

More of Your Tax Dollars Are Going to Enrich Private Health Insurers Than Help Ukraine Defend Itself

South Park Tackles Prior Authorization. It Would be Funny if It Wasn't so Damn Deadly.

Confronting the Dangers of Artificial Intelligence in Health Care is Imperative

Private Medicare Plans and Vertical Integration Yield UnitedHealth $15.8 Billion in Profits Between January and June

As UnitedHealth and Cigna are Sued for AI-Based Claims Denials, Documents Suggest Major AI Expansion

FTC: Big Insurance’s PBMs “Profit at the Expense of Patients by Inflating Drug Costs and Squeezing Main Street Pharmacies"

While an Insurance Industry Front Group Pushes Against Medicare Advantage Scrutiny, Rural Hospitals Remain Unswayed

As it Turns Out, Health Insurance Executives Are Really (Really) Good at Their Jobs

Meet a Trendsetting Health Plan Administrator Becoming an Architect of Employee Choice

A Former Republican Lawmaker’s Constant Fight with UnitedHealthcare’s Medicare Advantage Plan to Stay Alive

Fifteen Years Ago Today I Became a Whistleblower

These Big Health Insurers Covered Fewer People in the Commercial Market in 2023 Than They Did in 2013. Yet Profits Were Up. Here’s How.

Insurers and Private Equity Look to Join Forces to Further Consolidate Control of Americans' Access to Health Care

IMPACT: After HEALTH CARE un-covered’s Reporting, Medicare Profiteer Shuts Down

Health Insurers Increasingly Prevent Care for Children, New Congressional Report Finds

Medicaid and Medicare Claims Managed by Insurers Are Rising. Why Aren’t They Worried About Their Profits?

Confessions of a Recovering Managed Care Executive

UnitedHealth CEO Sold $5.6 Million in Shares the Same Day as Ransomware Attack

Medicare Advantage Insurers Hurt You Because Their Profits Depend On It

Independent Pharmacies are Closing. You Can Blame Health Insurance Companies.

‘Fiduciary’ PBM Pioneer Explains How Employers are Getting Fleeced and What They Can Do About It

New York Presbyterian's Anti-Competitive Maneuver Cost the 32BJ Health Fund $25 Million

Famed Florida Retirement Community, The Villages, is Being Fed Medicare Advantage Propaganda

Medicare Advantage's $64 Billion Supplemental Benefits Slush Fund

Here are the Five Areas the New DOJ Task Force on Monopolies in Health Care Should Focus On

Marshall Allen, Fearless Advocate for Health Care Reform and Journalist, dies at 52

Investigations into health care consolidation, profiteering lack necessary insurer angle

As a Nightmare Brews on Wall Street for CVS, Executives Scramble to Quell Investors

Secrets From a Hospital CEO: How Big Hospital Chains Suck Money Out of Your Local Community

CVS CEO to Wall Street: People in Medicare Advantage Are in for a World of Hurt as We Focus on Profits

Foundational Steps Vital on the Road to Universal Health Care

Wall Street Yawned as Congress Grilled UnitedHealth’s CEO but Went Ballistic on CVS/Aetna Over Medicare Advantage Claims

Mr. Witty Goes To Washington

The Press Is Beginning to Take Notice of How Health Insurers Are Raiding The Medicare Trust Fund

DEATH PANELS ABROAD: Cigna Whistleblower Reveals How Employees in the Philippines Play a Key Roll in Denying Care for American Beneficiaries

How a Former Big Insurance Executive, Terry Shook, Changed His Course in Health Care

Health Insurer Admits “Mistake” – and Still Sticks Disabled Veteran With $110,000 in Medical Bills

How Employers Can Easily Bend the Rx Cost Curve

‘Moral Injury’ Enters Health Care Lexicon

HEALTH CARE un-covered's New Beat: Disintermediation

“Senator, Saying It Doesn't Make It True”

Where Does Medicare Go From Here: Profit-Driven Chaos or Patient-Centered Community?

UnitedHealth Group, the Biggest Private Health Insurer on the Planet, Made $8.5 Billion in Profits in Q1 2024

How We Voted in 2016 Contributed to UnitedHealth's Acquisition of Change Healthcare

Nightmare on Wall Street for Medicare Advantage Companies

The Heritage Foundation's Medicare and Social Security Blueprint

BIG INSURANCE 2023: Revenues reached $1.39 trillion thanks to taxpayer-funded Medicaid and Medicare Advantage businesses

Leaked docs reveal extensive noncompete agreements at Epic Systems

The federal government will soon announce its payment rates and policy changes for the Medicare Advantage program. Here's how you can influence their decision.

Medicare Advantage gets walloped in the press as the federal government's rate notice looms

The PBM-insurer mafia comes for community pharmacies

I’m hosting a free webinar on Thursday. Here’s why you should tune in and how to register.

DEATH BY PAPERWORK: Watch NYT Opinion video on health insurers' "prior authorization" practices

Legislators and advocacy groups in Washington still have their sights set on PBM reform

The Knight Foundation and The Signals Network are changing the future of whistleblowing

New reports detail UnitedHealth's latest acquisitions under shady pretenses

President Biden proposes $2,000-a-year limit on prescription drugs

As Medicare Advantage's shortcomings echo in the press, key legislators still push to privatize traditional Medicare

Ascension Health, a big chain of Catholic hospitals, claims to advocate for a compassionate and just society. But its business practices and investments tell a different story.

UnitedHealth Group: vulnerable and ill-equipped to defend against modern threats like cyberattacks

BETWEEN YOU AND YOUR DOCTOR: How Medicare Advantage care denials affect patients

Five Medicare Advantage fixes we can all get behind (except the health insurance industry, of course)

UnitedHealth Group takes Wall Street hit because of investors' fears about Medicare Advantage profitability, Department of Justice antitrust investigation

Bi-partisan pharmacy benefit manager (PBM) reform bill gets endorsement from AARP

Have insurance? Good luck finding an in-network mental health professional.

Company behind Joe Namath Medicare Advantage ads has long rap sheet of misconduct

Humana to shutter Louisville, Kentucky headquarters; top executives now working out of Washington, D.C.

Is the No Surprises Act backfiring on patients?

The Albatross Around America’s Neck: How health-care opacity neutralizes competition and fuels a corporate race to corner health-care markets

Massachusetts Wakes Up to a Hospital Nightmare

How the nursing home lobby uses it's political prowess to kill would-be regulations and line the industry's pockets

Your Money or Your Life

Strange bedfellows agree: PBM pricing reform cannot stop at Medicare, Medicaid

UnitedHealth’s self-dealing is accelerating

The great Medicare Advantage marketing scam: How for-profit health insurers convince seniors to enroll in private Medicare plans

More than half of every dollar spent by Medicare drug plans goes to private health insurers' pharmacy benefit managers and wholesalers

Marketing Medicare Advantage to seniors of color – even when it’s bad for their health