Friday, November 15, 2013

UnitedHealth Culls Doctors From Medicare Advantage Plans

Physicians in 10 States Notified; Insurer Cites 'Funding Pressure' From Federal Government - Wall St. Journal

UnitedHealth Group Inc., UNH +0.60% the nation's largest provider of privately managed Medicare Advantage plans, has dropped thousands of doctors from its networks in recent weeks—spurring protest from lawmakers and physician groups and leaving many elderly patients unsure about whether they need to switch plans to keep seeing their doctors.

Doctors in at least 10 states have received termination letters, some citing "significant changes and pressures in the health-care environment." The notices also tell doctors they can appeal within 30 days. That means many physicians and patients won't know for sure who is in or out of UnitedHealth's Medicare Advantage networks before the open-enrollment period to switch Medicare plans ends on Dec. 7.