January 2024

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TL/DR - UnitedHealth Group and its subsidiary NaviHealth have reportedly used an algorithm and specific rules to deny rehabilitation care to certain individuals enrolled in Medicare Advantage. These rules dictated that if a member lived permanently in a nursing home or had cognitive impairments and was referred for physical and occupational…

TL/DR - The forthcoming US presidential elections are marked by unprecedented volatility and potential legal challenges - particularly around former President Donald Trump's eligibility to run following his involvement in the January 6, 2021, Capitol insurrection. The Supreme Court is expected to weigh in on whether states can ban Trump from the…

TL/DR - Prisma Health and United Healthcare have failed to agree on a new contract, causing thousands of patients to be out-of-network at Prisma Health facilities. The two companies have been negotiating for months but cannot agree on the amount United Healthcare should reimburse Prisma for its services. United Healthcare claims Prisma has…