Debunked Episode 15: How Did UnitedHealth Fail to Anticipate a Rise in Medical Utilization Costs?

admin
1 Min Read

Stephanie Baum , 2025-05-01 21:01:00

For 17 years, UnitedHealthcare built a solid track record of always meeting or surpassing earnings expectations. Until now, that is. Last month, the national health insurer disclosed it was $2 billion off its projected revenue. MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of HIP (Health Innovation Pitch) observed that a big factor behind UnitedHealthcare’s poor results was a spike in medical utilization among Medicare Advantage members. Care use from Medicare Advantage plan members increased at twice the rate the payer had planned for the quarter, according to the Associated Press.

The podcast also debuted a new feature dubbed, “What Did the Trump Administration Do Now?”, charting the chaos of the Trump administration’s healthcare moves. One study the Trump Administration slated for the chopping block before hastily reversing that decision, is a decades-long program to improve understanding of women’s aging. The study is credited with leading to a better understanding of HRT’s effects on post-menopausal women. Changes to the Covid.gov website were also highlighted. Additionally, Arundhati and Samir pondered the future of value-based care.

https://youtu.be/CbEzstczdVA

Source link

Share This Article
error: Content is protected !!