United Healthcare is cutting commissions for 15% of all MAPD

[axeman462]

Calling @DonP a pu$$y shows the integrity of many here.

The facts will continue and continue to trigger your insecurities.

Deal with it

 

[Medicare bro]

Just losing commissions isnt enough.
So much fun every year!

OhioHealth may be leaving our Medicare Advantage network in Ohio​

Anthem has been working closely with OhioHealth, but we have not reached an agreement to keep them in our network. This means OhioHealth will leave our Medicare Advantage network on 8/1/2025. As of this date, members may pay more for care received from OhioHealth doctors and facilities. We are sending letters to impacted members this week. If members are receiving ongoing treatments, they may be able to receive coverage for this provider a little while longer. Members should contact Customer Service to discuss their options. This situation does NOT impact Medicare Supplement plans. Medicare Supplement members may continue to see any doctor or hospital that accepts Medicare patients. We will continue to negotiate with OhioHealth and hope to reach an agreement that keeps them in our networks. We will let you and our members know if this happens. Please visit anthem.com/OhioHealthfor the latest information.​

This is the reason why carriers are leaving certain markets. It's not because of claims, it's because of the Hospital Networks that won't negotiate with companies. In these ares's the Hospital networks get what they want or you can't use them. Ohio is a problem, that is why carriers want out.

 

[sman]

Just losing commissions isnt enough.
So much fun every year!

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www.anthem.com

OhioHealth may be leaving our Medicare Advantage network in Ohio​

Anthem has been working closely with OhioHealth, but we have not reached an agreement to keep them in our network. This means OhioHealth will leave our Medicare Advantage network on 8/1/2025. As of this date, members may pay more for care received from OhioHealth doctors and facilities. We are sending letters to impacted members this week. If members are receiving ongoing treatments, they may be able to receive coverage for this provider a little while longer. Members should contact Customer Service to discuss their options. This situation does NOT impact Medicare Supplement plans. Medicare Supplement members may continue to see any doctor or hospital that accepts Medicare patients. We will continue to negotiate with OhioHealth and hope to reach an agreement that keeps them in our networks. We will let you and our members know if this happens. Please visit anthem.com/OhioHealthfor the latest information.​

You do realize these contracts come up every few years and we get the same news? And more times than not they work out a deal in the 11th hour.

Dude, you really have a hard on for negative news. Good thing you stopped writing MAPD 20 years ago so you don't have to deal with any of this. Seems like a waste of time to be constantly posting about it for someone who isn't in the market.

 

[MedicareWAA]

Hard market early in the Medicare+Choice days. Again when Obama was in office.

But even if you discount those times, people need to chill the hell out a little bit. If you're this freaked out about a carrier not wanting anyone to send them members, go learn how to sell other health or life or annuity products. Seriously, calm down or get out.

I'll close with a hard truth. There are too many agents in this business right now. Thinning the herd would be good for those of us who care about building a long lasting agency, and there's still plenty of money to be earned.

 

[annon123]

Had one when I was younger. Wish I'd kept it.

I could be on here prognosticating.

On another forum I am on they have /eightball and then you ask your question. Then you get an 8 ball answer. Likely that doesn't work on here though.

/eightball does this work on here?

EDIT - nope doesn't work.

 

[Tscholar]

It's starting !!! I'm amazed they don't eliminate overrides and marketing money first which is 4 to 1 more money than agent commissions . Agents can survive with no fmo but carriers need agents

Maybe they are trying to say we aren't needed.

 

[sman]

UnitedHealth Group Is Under Criminal Investigation for Possible Medicare Fraud

Company's stock has declined over financial performance and sudden replacement of CEO

https://www.wsj.com/us-news/unitedhealth-medicare-fraud-investigation-df80667f?gaa_at=eafs&gaa_n=ASWzDAhviRxumLuhALYkR-wepaOh-gnfU9I07xwfl67a4AvWH8V0wdUxDxeHdNI0_xg=&gaa_ts=6851be40&gaa_sig=IgFfRFlTjRfSTWett1hb-5JMkXqFOLTwqHgdobVLwA-II86uWbsOanZBSdP0Qzls_xM23fZ04FcTxOQm89gVlA==

Awesome man. I'm so happy you are so excited about the negative news and the prospect of your 5 renewals ending.

 

[somarco]

Hospital/carrier negotiations are a fact of life. I enountered this was 20+ years ago with an IFP client who had terminal cancer. He was about half way through his treatments when Northside Hospital and UHC were unable to come to an agreement about a week before expiry.

He called several times wanting to know what would happen if he could not continue his treatment.

Telling him to "chill" was not going to work. I had seen these kind of situations before and told him these things usually work out at the last minute.

He was still anxious and stressed.

As it turned out they reached an agreement right before midnight. I called him the next day to give him the news.

Two weeks later he was admitted to hospice and died the next day.

Patients have a lot more at stake than agents who are worried about their commissions.

 

[sman]

Your welcome, but you should probably be thanking your leader Mr Trump chaos is his MO

House Passes Bill That Would Devastate Health Coverage for Millions in Medicaid and Medicare

House Passes Bill That Would Devastate Health Coverage for Millions in Medicaid and Medicare - Medicare Rights Center

Today Republicans in the U.S. House of Representatives passed their sweeping reconciliation bill. It now heads to the Senate, with a goal of final passage this summer. Cuts to Vital Programs Would Pay for Administration Priorities The House-passed bill would extend and expand upon many of the...

www.medicarerights.org

*You're

 

[Nikita]

The problem with Iowa is that MercyOne dominates the hospitals in the state. And they're getting very persnickety about what MA plans they want to contract with (or even accept OON). This year, the only in-network MA plans statewide in the MercyOne system are UHC. So if you've got a client who lives in an area where the only hospital in their part of the state is MercyOne, and the UHC plans in that area are all non-commissionable, you're up that stinky creek without a paddle.

In December 2024, at the very last minute, Aetna renewed their contract with MercyOne. I have many clients who are on Aetna who go to MercyOne doctors and clinics. MercyOne declined to renew their contract with Humana - thank God they worked it out with Aetna.