focus -WSS

focus

author：leisure time 2025-10-01 22:16:54 - browse：1769

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： Mayo Clinic partners with supercomputer AI firm Cerebras at JPM

WSS

STAT Virtual Event: JPM Recap, Live!

Profiling embryos to choose those with higher IQs is almost a reality

Allen Institute goes after foundational questions, CEO Costa says

Study suggests new cause of Down syndrome: cells linked to aging

Mayo Clinic partners with supercomputer AI firm Cerebras at JPM

Arena BioWorks launches in Cambridge to speed drug discovery

focus

focus

hotspot

The high cost of giving birth even with insurance

Medicare Advantage overpayments discussion gets experts fired up

As demand for Covid shots wanes, Moderna seeks its next success

FDA early review: GLP

ChatGPT in medicine: STAT answers readers' burning questions

Ascension's ugly legal battle over care for poor patients in Texas

The high cost of giving birth even with insurance

Physician assistants need a new name. Here's what it should be

How one medical school became remarkably diverse

Boston Scientific acquires urology company Axonics for $3.7 billion

explore

Allen Institute goes after foundational questions, CEO Costa says

Readout Newsletter: Cytokinetics and Novartis' starcrossed tale

American taxpayers paid $1.8 trillion in health care costs in 2022

Physician assistants need a new name. Here's what it should be

Ascension's ugly legal battle over care for poor patients in Texas

Merck to acquire Harpoon Therapeutics for $680 million

Wikipedia

focus

focus

explore