UnitedHealthcare (“United”), the nation’s largest health insurer, is using a dual strategy to put downward pressure on provider reimbursement rates: (1) strategic contract terminations, combined with (2) heavy investment in its own physician practice operations to allow it to directly compete in the market and drive down rates. The competitive impacts of United’s stature as a payer and, through Optum, an extremely large provider of physician services are particularly noticeable in the physician network actions United recently has taken.
Read the full article: Impacts of United’s Recent Strategic Terminations and Emergence as a Provider on the Healthcare Marketplace //
Source: https://www.jdsupra.com/legalnews/impacts-of-united-s-recent-strategic-36244