ProPublica reporter on uncovering UnitedHealthcare’s ‘secret’ internal cost-cutting campaign – CNN
“Internal documents show Optum is aiming to exclude from its network about 40% of Louisiana groups that offer ABA therapy. About 1 in 5 children whose treatment is covered by the company’s Medicaid plan in the state could lose access to care.”
Is capitated prepayment – where an insurer assumes risk for providing care and can increase profits by denying or restricting access to it – the best way to pay for long-term care? And where to draw the line between paying for Medicaid medical care and long-term care, which are provided under different state-federal programs?