Report finds high denial rates at UnitedHealth, two other Medicare Advantage plans
The nation’s largest for-profit Medicare Advantage insurers denied pre-approval requests for post-hospital care 51% to 80% of the time, the study says. The industry says the findings paint a flawed picture.
These private Medicare plans denied specialized care at highest rates
Large private health insurance companies routinely denied requests to get rehabilitation or other post-hospital specialized care, federal agency says.
Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds
UnitedHealthcare, CVS Health and Humana had the highest denial rates for long-term care requests, according to a report from the agency’s inspector general.
Centene eyes 2027 turnaround amid Medicare Advantage payment tailwinds and strategic membership optimization. FY2026 may see a trough as the company refines its base, supporting future margin improvement. Attractive valuation with 3-year PEG of 0.35x signals upside if momentum shifts. #medicareadvantage #healthcarestocks
Salon.com | What AOC really told RFK Jr. by Russell Payne
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Rep. Alexandria Ocasio‑Cortez was photographed confronting Health Secretary Robert F. Kennedy Jr. after his congressional testimony, but the exchange centered on Medicare Advantage rather than vaccines or psychedelics. Ocasio‑Cortez’s office said she was pressing Kennedy about systemic fraud in the Medicare Advantage program, warning that private insurers are overcharging taxpayers, upcoding diagnoses, lowering reimbursements and increasing claim denials while profiting from the Medicare brand. She highlighted that the government expects to spend an additional $13 billion on the program in fiscal year 2027—far above projections—and urged an end to the “giant” insurers’ exploitation of the system.
Read more: https://www.salon.com/2026/04/23/what-aoc-really-told-rfk-jr/
#MedicareAdvantage #Healthinsurers #AlexandriaOcasio-Cortez #RobertKennedy #KarlaSantillan
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US Top News and Analysis | UnitedHealth tops quarterly estimates, hikes profit outlook as insurer manages high medical costs
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UnitedHealth Group reported first‑quarter results that beat Wall Street expectations, posting revenue of $111.72 billion (versus $109.57 billion forecast) and adjusted earnings of $7.23 per share (vs. $6.57 expected). The company also raised its 2026 adjusted‑earnings outlook to more than $18.25 per share from the prior $17.75‑plus target while maintaining its full‑year revenue guidance of over $439 billion. A key highlight was the improvement in its medical benefit ratio to 83.9%—down from 84.8% a year earlier and better than the 85.5% analysts had projected—indicating more effective control of medical‑cost spending. UnitedHealth’s net income was $6.28 billion, and its turnaround plan under a new leadership team focuses on shrinking membership, selling the UK arm of its Optum unit, heavy investment in artificial‑intelligence tools, streamlining care access, and boosting transparency to restore profitability and reputation.
Read more: https://www.cnbc.com/2026/04/21/unitedhealth-group-unh-earnings-q1-2026.html
#UnitedHealthGroup #WallStreet #Optum #StephenHemsley #MedicareAdvantage
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Medicare Advantage = BAD.
Medicare Advantage is private, FOR-PROFIT insurance that overcharges American taxpayers by billions every year and regularly denies seniors the care they need.
...so course, Trump is trying to privatize ALL Medicare.
✅ The Medicare Advantage Trap: What They Don’t Tell You
https://hartmannreport.com/p/the-medicare-advantage-trap-what-1fc
✅ Trump weighs major gift to for-profit insurance industry: Medicare privatization
https://www.rawstory.com/trump-medicare/
#trump #Medicare #MedicareAdvantage
Corporate Socialism Exposed 60 Minutes Reveals Who Really Takes the Risk
60 Minutes reveals how corporations rely on subsidies while avoiding risk—rare earths, shipbuilding, and more expose capitalism’s structural failure.
#capitalism #ChinaEconomy #corporateGreed #CorporateSocialism #CorporateWelfare #EconomicInequality #GovernmentSubsidies #industrialPolicy #infrastructure #MedicareAdvantage #neoliberalism #progressiveEconomics #publicInvestment #rareEarthMinerals #shipbuilding https://wp.me/p1OjMZ-oNj
Please copy and paste into the form on the website of your Senators and Representative. Please share with friends. https://www.congress.gov/contact-us
Dear Senator/Representative -
President Trump’s Medicare director said last week that his team is considering a policy that would automatically enroll Medicare beneficiaries into Medicare Advantage plans, an idea first rolled out in the Project 2025 roadmap of this Republican Administration.
I want you to push back hard on this idea and fight it with every bureaucratic tool at your disposal.
Medicate Advantage costs us taxpayers 14% more than if those same people were enrolled in traditional Medicare, according to the Medicare Payment Advisory Committee.
Yes, you're reading that correctly -- Medicare itself is telling you that Medicare Advantage costs more. This extra $76 billion of my tax dollars gets paid to for-profit health insurance companies. Study after study has shown that Medicare Advantage, while costing more, does not lead to better outcomes for patients. All Medicare Advantage does is put the money I am paying in taxes into the pockets of health insurance shareholders and CEOs.
Right now, Americans have a choice between Traditional Medicare and corporate, profit-driven Medicare Advantage.
Medicare Advantage costs more and it doesn't result in better patient outcomes. It should be cancelled completely, not made the default enrollment.
Fight this.
#Resist #ResistOfTheDay #Medicare #MedicareAdvantage #Healthcare
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