knowledge -WSS

knowledge

author：comprehensive 2025-09-03 05:30:34 - browse：82859

The U.S. Department of Labor claims in a new lawsuit that a UnitedHealth Group unit illegally rejected emergency room care and urine drug screen claims for thousands of people.

UMR, Inc., a Wisconsin-based third-party administrator owned by UnitedHealth, manages benefits for more than 2,100 employee health plans. The federal government says the company denied ER visits and urine drug screens for years using a process that didn’t meet federal standards for health plans that employers fund themselves, known as self-insured plans. The standards are part of a law called the Employee Retirement Income Security Act, or ERISA.

“I see it as significant because the Department of Labor is actually looking under the hood at the standards and methods that insurers apply when they decide whether or not to approve or deny a claim,” said Colleen Medill, a professor at the University of Nebraska College of Law and nationally recognized legal scholar on ERISA. “They are looking at their process.”

Unlock this article by subscribing to STAT+ and enjoy your first 30 days free!

GET STARTED Log In

Previous article： How to save PrEP access — and even expand it
Next article： Cybersecurity threat forces Lurie Children's to take systems offline

hotspot

WSS

Mass General Brigham physicians react to latest merger step

Some dementia cases could be undiagnosed liver disease

What we need to know about Arena Bioworks

Harvard scientists, with Google, unveil the most detailed brain map ever

Oral obesity drug from Viking Therapeutics hits key early target

Readout LOUD podcast: Vertex data, Aduhelm, & Woodcock retires

focus

knowledge

hotspot

Malaria cases in Florida and Texas: Here’s what you need to know

Drug companies' payments and gifts affect physicians' prescribing

Tori Bowie and the unacceptable rates of Black maternal death

Trial using CRISPR to edit HIV out of cells disappoints

New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum

Covid misinformation case heads to Supreme Court

How to save PrEP access — and even expand it

General Catalyst, Summa Health deal will turn on physician buy

State Dept. review finds Biden bears some blame for Afghanistan failures

Quicker fix for pulse oximeters urged during FDA public meeting

leisure time

Readout LOUD podcast: Vertex data, Aduhelm, & Woodcock retires

People with mental disorders often marry others with same

New Ultima Genomics DNA sequencer can read genome for $100

Cybersecurity threat forces Lurie Children's to take systems offline

Oral obesity drug from Viking Therapeutics hits key early target

Bird flu reported in person exposed to presumably infected cattle

hotspot

hotspot

knowledge

leisure time