Health Law Alert - February 2014: Medicare Advantage Terminations: Thinning The Herd Of Qualified Participating Providers


"Thinning the herd" is the process of removing from the population, by any means necessary, those who cannot or should not survive. Emblem, United Healthcare and other major health insurers, have undertaken a corporate sponsored “thinning of the herd” of participating physicians and have done so by dispatching thousands of notices informing them that their time has come: despite providing admittedly high-quality care to their insured patients, their provider agreements are unilaterally terminated or simply not renewed.

Despite record profits, health insurers point the finger of blame at the government, noting that the Affordable Care Act will be paid for, in part, by cutting by $200 billion in government payments to their Medicare Advantage plans. The government, on the other hand, contends that the insurance companies are overpaid and that it is doing nothing more than bringing the cost of Medicare Advantage in line with costs incurred under traditional Medicare.

Please see full alert below for more information.

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Topics:  CMS, Healthcare, Medicare, Medicare Advantage, Qualified Health Plans

Published In: Health Updates, Insurance Updates

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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