Posted on 03/08/2014 4:50:52 AM PST by raybbr
hamden >> Seniors and U.S. Rosa L. DeLauro planned their next move Friday as they looked for ways to keep UnitedHealthcare and federal agencies accountable after the large insurer cut Yale-New Haven Hospital and more than 2,200 doctors around the state from their Connecticut networks.
DeLauro, D-3, said she will ask the federal General Accounting Office to investigate the Center for Medicare and Medicaid Services on how it determined the remaining practitioners will be enough to serve patients and whether UHC gave the required notice to Greater New Haven clients.
The letter has been signed by all five of Connecticuts House delegation.
Holding a stack of correspondence going back to October, DeLauro said UHC has been evasive and recently went to radio silence on their decision that will sever longtime relationships between doctors and patients when access to the hospital ends on April 1.
April Cervero, 68, said the conflicting information she received was Kafkaesque.
The CMS, according to Dr. Steven Wolfson, a cardiologist with Yale Medical Group, has so far rejected allowing seniors with the AARP UnitedHealth Care Medicare Advantage policies to switch to traditional Medicare or another Medicare Advantage plan
(Excerpt) Read more at nhregister.com ...
It doesn't have anything to do with that.
This has been going on for months, not just in this location but all over.
In this case, United announced long ago that they would reduce the size of their network as it applied to their HMO Advantage Plan, and only their HMO Advantage Plan.
Notice the line in the article that says "switch to traditional Medicare or another Medicare Advantage Plan"
United advertised way ahead of time that they would shrink the HMO network so individuals could switch out of the HMO to traditional Medicare with a supplemental policy or switch to a different Advantage Plan like PPO(Preferred Provider Organization) if they wanted to.
But there are a lot of dumbasses in the world and they didn't switch and now that the time period for switching is over, they are complaining.
And DeLauro, like all politicians, is trying to get out in front of the "Parade of Complainers"
If these doctors are still Medicare providers, but have been de-selected from United Healthcare, I think that legally, they cannot privately contract with their former patients to provide services.
One solution would be to allow Medicare providers to privately contract with Medicare patients, if both parties felt it served their interests.
Spellcheck is your friend.
Medicare supplement is pretty much the same for the same plan. What did UHC have?
Thanks....
I’ve been gone all day and just got back. I want to thank you for that photo.
The woman is unbelievably homely, I think. In a way it’s sad. But then I think of her extreme liberal politics...
LOL and here I thought you'd get a "Helen Thomas" reaction and be mad at me. Sorry, the idea of being thanked (I do appreciate you taking the time) for posting a pic of DeLauro is amusing.
I wanted to show it to Mrs. OP. I know what she looks like.
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