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STAT+: UnitedHealth continues making stealthy deals, pushing deeper into medical care as scrutiny mounts

STAT

UnitedHealth Group, the largest health care company in the U.S.,   The sprawling conglomerate — which owns a major health insurance company, physician practices, a pharmacy benefit manager, and numerous other firms — acquired or created more than 250 subsidiaries in 2024.

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STAT+: UnitedHealth pushed employees to follow an algorithm to cut off Medicare patients’ rehab care

STAT

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found.

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Will insurance cover Ozempic for fatty liver?

The Checkup by Singlecare

Although insurance plans may cover Ozempic to treat Type 2 diabetes, coverage for fatty liver disease might not be so straightforward. Several factors that can affect coverage include someone’s health history, specific insurance plan, and what it’s prescribed for. Does insurance cover Ozempic for fatty liver disease?

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A letter from the executive editor: STAT’s investigation into a UnitedHealth algorithm

STAT

For more than a year, our reporters have documented how the use of artificial intelligence is driving denial of claims or delaying treatment for seriously ill patients. This latest story goes even deeper, establishing how the denial of claims was by design.

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STAT+: ‘Everybody has blood on their hands’: A decade-long battle over Medicare Advantage audits is coming to a head

STAT

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.

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STAT+: Biden administration ignores calls to bolster hospital price transparency

STAT

This document is where the government has in the past rolled out changes to the so-called hospital price transparency rule, but the Biden administration did not address the issue in this edition. Since 2021, hospitals have been required to post the prices they have negotiated with all health insurance companies, as well as their cash prices.

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Does Aetna cover Contrave?

The Checkup by Singlecare

But its prices can look intimidating, leaving some looking to insurance for help. Insurance coverage for Contrave depends entirely on each individual patient’s insurance plan,” says Dr. Jennifer Brown, MD, a medical writer for MyObesityTeam. Some Aetna healthcare plans may cover Contrave, but it depends on several factors.