United Healthcare linked to liver transplant deal for stockholder’s brother
A stockholder claims United Healthcare used influence to secure a discounted liver transplant at Northwestern Memorial Hospital for his ill brother, bypassing local Miami centers. The letter, dated January 15, describes negotiations lowering costs from 590000 to about 150000 with no guaranteed final amount, and cites internal PD routes and a Chicago surgeon as trusted by the company.
MENTIONED IN THIS ARTICLE
Fort Lauderdale
Lver
Miami University
United Healthcare
United Resources Network
Kirk Stapleton
Stapleton
Miami
Michael Abecessis
Northwestern Memorial Hospital
Chicago
Northwestern
Kirk
Amber Savi
Amber Smith Health Journalists Career Highlights
Amber Smith of the Herald American has written on health care since 1989. She has won the Distinguished State Government Coverage Award from the New York State Publishers Association and the 1995 top journalism prize from the National Institute for Health Care Management. She holds a UT El Paso B.A. in 1987 and completed paramedic training in 1992. She plans a master's in Health Services Management and Policy at The New School. She resides with her husband and son in Fayetteville and can be reached at 315-470-3073.
MENTIONED IN THIS ARTICLE
Amber Smith
The
Herald American
New York State Publishers Associaton
Smith the
National Institute For Health Care Management
Smith
University of Texas At el Paso
State University of New York Health Science Center
Syracuse
New School For Sacial Research
HMOs Penalized for Not Caring for Poor Patients
The state hits HMOs with penalties for insufficient care of low income patients. Central Wes York faces some of the largest fines as authorities enforce access rules across the health system according to the Herald Journal.
MENTIONED IN THIS ARTICLE
Wes York
Family battles HMO over transplant choice and care
Pamela Ganoung fought HMO-CNY for a Pittsburgh liver transplant evaluation for her son Luke, arguing the network list undervalued Pittsburgh’s experience. Despite appeals to state regulators, HMO-CNY upheld a list favoring two Boston and Cleveland centers, forcing the family to seek coverage and facing rising medical stress as managed care reshapes local hospitals and physician practices.
MENTIONED IN THIS ARTICLE
Fort Crane
Hmo-Cny
Seco Health Maintenance Organization
New York
Hmos
Dais Séz-Taire Medicaes
Lis
Luke
Boston Children’s Hospital
Cleveland Clinic
Pittsburgh
Ronald
Pamela Ganoing
Raymond Carpist
Binghamton
Ruth Fist
Darsius
SS Aram Lake
Ee Coat
Pamela Ganoung
Eric
Dee~ Somtec
Neelli
Mesarech
Doctors face pay changes as HMOs expand
The piece explains capitation and other HMO pay models shifting physician incentives from fee for service to a per patient monthly fee. It notes risks to doctors with sick panels, the use of withholdings, and compensation disclosures required by March rules, amid industry pressure and reform debates in New York and Onondaga.
MENTIONED IN THIS ARTICLE
Hmos
MVP Health Plan
Hmo-Cny
Wealthcare
MetraHealth and
Health Services Medical Corp
HMO
Syracuse
St. Joseph's Hospital
St. Joseph's Hospital Health Center To Crouse Hospital
Crouse
Suny Health Science Center
US Healthcare
New York State
Onondaga County
Sela
Mondaga
Onondaga
Jet Sneider
Iman
Hmgs
Agras
Clinton
Department of Health and Human Services
Onondaga Court
Herald
Contracts reveal doctor constraints across health plans
Contracts show doctors face restrictions when treating US Behavioral Healthcare patients, including delays discussing options until speaking with a care manager. Some MVP Health Plan doctors accept deep discounts for patients with specific ailments, while others are bound not to disclose contract terms. Several providers face non-disparagement clauses and termination for disruptive behavior. agreements limit patient referrals and potential lawsuits.
MENTIONED IN THIS ARTICLE
Ment Health Plan
AMO
MVP Health Plan
HMO
Hmo-Cny
U.S
Nlan W
Medco
North Medical Community Health
Also Mentioned on This Page
Higips Singhohie
Giant
United Healthcare Com
Oppenheimer Cap- IV
Wall Street
United
Wiliam McGuire
Metra= Health Care Plan
Upstate New York Inc
Central New York
Her
Fayetteville
BB. Bane
Herald-journal
Blue Cross
Blue Shield
Ganoungs
State Senate Health Committee
Renness
Marlin Masavech
Broome County
Greene
MetroHealth
Davierence
Kaiser Foundation Health Plan
Jesus
Ainge
Lute Ganoung
Raymond Corp
Hawker Siddeley
Miller Aviation
Tephen D.jannen Elbessar Pwinrer
Luke Ganaung
Port Crane
Ford Ae
Tors
HMQ
Tral New York
T Care
HMG
Ally
Niler Daniels
Hugh
Health Center