United Health Finally Does Right

[Howey]

If all the other for-profit leech insurance companies did these we would be a lot closer to Medicare for all and better health care.

http://www.latimes.com/business/la-fi-unitedhealth-insure-calif-20130702,0,4370321.story

The nation's largest health insurer, UnitedHealth Group Inc., is leaving California's individual health insurance market, the second major company to exit in advance of major changes under the Affordable Care Act.

UnitedHealth said it had notified state regulators that it would leave the state's individual market at year-end and force about 8,000 customers to find new coverage. Last month, Aetna Inc., the nation's third-largest health insurer, made a similar move affecting about 50,000 existing policyholders.

Both companies will keep a major presence in California, focusing instead on large and small employers.

For those of you who don't know or are ignorant, United Health Care has been a vocal opponent of ObamaCare since providing insurance coverage to all Americans is against their principles, even though the company has been fraught with fraudulent conduct of massive numbers the past seven years, including billion dollar fines for bilking Medicare just last year.

United Healthcare Fraud Report 2012

Below is the United Healthcare Fraud Report for 2012. The report is an updated history of United Healthcare’s felonious misconduct over the past decade.

United Healthcare Fraud

United Healthcare Financials

42% denial rate (Healthcare.Gov, Kaiser, AMA)

CEO Compensation: $48.8 Million (Forbes, CNBC)

$1.56 Billion profit (3Q earnings 2012, CNBC)

$25.92 billion premium revenue (CNBC)

25% increase premium prices (HHS)

77% medical loss ratio (violated MLR rule of 80%, HHS OIG)

History of Medicare Fraud:

Fined $3.5 million - December 2004

Fined $4 million - September 2002

Fined $2.9 million - November 2000

———————————————————

History of Non-Medicare Fraud:

Fined $1.3 million – May 2012

Fined $20 million – May 2012

Fined $350 million – October 2010

Fined $457,000 – October 2010

Fined $750,000 – November 2009

Fined $500,000 – August 2009

Fined $50 million - January 2009

Fined $250,000 – July 2008

June $50,000 – June 2008

Fined $2.8 million – March 2008

Fined $3.5 million – January 2008

Fined $4.4 million – December 2007

Fined $12 million – September 2007

Fined $650,000 – May 2007

Fined $59,500 – February 2007

Fined $364,750 – March 2006

Fined $350,000 – March 2006

Fined $5,000 – January 2005

Fined $2.8 million – January 2005

Fined $150,000 - May 2002

Fined $87.3 million - April 2002

Fined $35,900 – November 2000

Fined $175,000 – April 2000

Fined $127,400 – March 2000

————————————————————

Medicare Fraud Fines: $10,400,000

Non-Medicare Fraud Fines: $538,024,550 million

Total Fraud Fines: $548,424,550



According to the American Medical Association, United Healthcare has been fined $46,527,575 by state governments since 2000 for failing to pay physicians in a timely manner.

Pocketed $5.3 million in income taxes from employees in Indiana and New Jersey (CNBC, Justice Department).

U.S. Justice Department fined United Healthcare $87,300,000 for defrauding the Federal Employee Health Benefit program.

CPT Codes Most Downcoded by Insurance Company:
Code: Medicare Rate: Usual Downcoding Amount
99204 (level 4 new office visit) $170.47 $43.13
99203 (leve 3 new office visit) $110.92 $59.55
99202 (level 2 new office visit) $76.88 $34.04
99201 (level 1 new office visit) $44.77 $32.11
99214 (level 4 established patient) $111.39 $38.21
99213 (level 3 established patient) $74.46 $36.93
99212 (level 2 established patient) $44.77 $29.69
99233 (level 3 hospital progress note) $108.67 $34.01
99232 (level 2 hospital progress note) $75.78 $32.89
99231 (level 1 hospital follow up) $42.12 $33.66

 

[blackascoal]

It cannot be stated enough .. the ONLY reason we don't have Medicare for All is named Barack Obama.

That's the ONLY reason.