Benefits & Executive Compensation News

UnitedHealth Will Reprocess Spinal Surgery Claims to End Suit (1)

April 16, 2019, 2:15 PMUpdated: April 16, 2019, 8:12 PM

UnitedHealth Group Inc. will reprocess claims using new medical guidelines as part of a settlement of two class actions that allege it wrongly limited coverage for spinal surgeries.

The settlement follows a policy change instituted in March under which United began treating lumbar artificial disc replacement surgery as a proven treatment that’s medically necessary if certain criteria are met. This policy change is a direct result of the litigation, and United will continue the policy unless new medical literature justifies a change, the parties said in an April 15 joint settlement motion.

“This is unusual to get a health plan...

To read the full article log in. To learn more about a subscription click here.