knowledge -WSS

knowledge

author：hotspot 2025-09-30 00:45:24 - browse：6229

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： Moonlake's readout produced a cash windfall. Risks remain
Next article： Maisha Meds is a PBM, but don't call it that

WSS

Cardiologists urge adding sexual orientation, gender identity to health records

Future doctors need a strong humanities education

How the Dana

Printout prescription drug information shouldn’t go digital

Address the ethical violations that led to 'Three Identical Strangers'

Kaiser Permanente unions announce official strike date

Wikipedia

knowledge

hotspot

At least 13 dead in Texas as scorching temps continue

TikTok, Instagram influencers need more rules for drug ads

Hepatitis C has a cure — but many Americans still lack access to it

Data show record exodus of life scientists from academia

What does generative AI mean for health care? We asked experts

Dana Farber says 6 studies to be retracted and 31 corrected

Trump demands the U.S. pay no more for drugs than other countries … again

Medicaid, Medicare dual

Supreme Court strikes down use of affirmative action

Medicare bonuses could stop drug shortages under Senate plan

entertainment

Researchers use wearables data and AI to predict preterm birth risk

Future doctors need a strong humanities education

Cardiologists urge adding sexual orientation, gender identity to health records

Update the Apgar Score to remove skin color

Listen: Who gets the credit for GLP

Covid vaccines: Private market messier than government rollout

hotspot

focus

knowledge

knowledge