knowledge -WSS

knowledge

author：comprehensive 2025-10-01 18:03:29 - browse：8

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： Walensky prepares to leave CDC — and Congress — behind
Next article： Reporting on presidential health from Reagan to Trump and Biden

WSS

Elevance, SCAN deals highlight health insurer acquisition scrutiny

Newly formed Hurricane Beatriz sweeps close to Mexico's southwest Pacific coast

Obamacare plans could cover weight loss drugs

ADA: All diabetes patients should be screened for liver condition

GOP inquiry over gain

Surprise medical billing ban raises prices elsewhere

focus

knowledge

explore

ChatGPT in medicine: STAT answers readers' burning questions

Supreme Court strikes down Biden student loan forgiveness program

The cancer drug shortage isn’t new — and neither are the solutions

Medicare Advantage enrollment grows 7.1% to 33.4 million people

New Eli Lilly Alzheimer’s data poses Medicare coverage conundrum

Medicare Advantage enrollment hits roughly 33.4 million

Food as medicine: CMS rules hamper 'prescribing' of fruits, veggies

New lesbian bars spark hope amid disappearing LGBTQ+ spaces

Anesthesiologist group: stop taking Ozempic before surgery

Measles policy set amid Florida outbreak alarms vaccine proponents

leisure time

UnitedHealth wins $3.3 billion takeover of Amedisys

Researchers tackle phage therapy hurdles for wider adoption

Ukrainian soldiers say they owe lives to US

As AI regulations shape up, health tech startups beg for clarity

Medicare Advantage enrollment grows 7.1% to 33.4 million people

Illumina to lay off 10% of research and development team

focus

Wikipedia

hotspot

focus