UNITEDHEALTHGROUP: Recent Pros and Cons of UNH

Posted on November 17, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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A class action lawsuit has been filed in Minnesota against UnitedHealth Group (NYSE:UNH) over allegations that the health insurer and its subsidiary, NaviHealth, used a faulty algorithm to deny rehabilitation care for Medicare Advantage beneficiaries. California-based Clarkson Law Firm filed the lawsuit in the U.S. District Court of Minnesota on Tuesday following an investigative report published by the health-focused news site Stat.

It alleges that UnitedHealth and its subsidiary, NaviHealth, used the computer algorithm named nH Predict to “systematically deny claims” of patients recovering from debilitating illnesses in nursing homes. According to the lawsuit, despite its 90% error rate, the company used the algorithm to deny claims, knowing that only 0.2% would appeal its decision. According to Stat, Humana (HUM), the nation’s second-largest player in the Medicare Advantage market behind UnitedHealth (UNH), also uses nH Predict. UnitedHealth (UNH) denied it used the NaviHealth predict tool to arrive at coverage decisions.

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Ironically, UnitedHealth’s (NYSE:UNH) Optum Rx unit announced Thursday plans to move eight insulin products to “preferred” status on formularies to further expand the number of patients benefiting from $35 or less monthly out-of-pocket costs for the lifesaving therapy.

Optum Rx, UNH’s pharmacy benefit manager (PBM), said that effective January 1, 2024, all short- and rapid-acting insulins will move to Tier 1 in commercial formularies, a list of drugs the company maintains to indicate coverage for insured patients.

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DAILY UPDATE: Mixed U.S. Stock Markets

Posted on November 17, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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SPONSOR: http://www.MarcinkoAssociates.com

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Over the course of the last few weeks, Cathie Wood of ARKK has been offloading the firm’s holdings in Roku, Inc. (NASDAQ:ROKU). Across all of her firm’s funds, Wood has sold stock in the streaming company totaling over $56 million. The move comes after Roku released its financials for q3. 

Here is where the major benchmarks ended:

  • The S&P 500 Index was up 5.36 points (0.1%) at 4,508.24; the Dow Jones Industrial Average was down 45.74 points (0.1%) at 34,945.47; the NASDAQ Composite was up 9.84 points (0.1%) at 14,113.67.
  • The 10-year Treasury note yield (TNX) was uabout 9 basis points at 4.445%.
  • Cboe’s Volatility Index (VIX) was up 0.14 at 14.32.

Walmart’s commentary weighed on the retail sector. Energy was also a laggard, as crude oil futures fell 5% to a four-month low of less than $73 a barrel, in part because record U.S. crude production has boosted supply.

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SEASONAL AFFECTIVE DISORDER: Doctors, FAs and the Winter Blues

Posted on November 17, 2023 by Dr. David Edward Marcinko MBA

SEASONAL AFFECTIVE DISORDER

Out … Like a Light!

DST: Daylight saving time, also known as daylight savings time or daylight time, and summer time, is the practice of advancing clocks during warmer months so that darkness falls at a later clock time.

BUT – Do you have trouble fitting daylight into your winter lifestyle? Or, have difficulty seeing medical patients, making hospital rounds, or serving consulting or financial advisory clients? Maybe it’s SAD?

But, how do you cope with the long dark, days of December and January?

To raise awareness of SAD, First Choice has brought together statistics from sources such as SADA, SAD.org.uk, Bupa and the Mood Disorders Society of Canada to create this new infographic.

In it you can find out how much daylight office workers receive year-round, as well as a collection of facts that can help you recognize and treat SAD. With December and the winter solstice drawing in we are certainly in for some short days in the coming weeks.

Conclusion           

And so, your thoughts and comments on this ME-P are appreciated. Regardless of occupation, how do you cope with SAD?

Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

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