Clinical case managers had to choose between their job performance and their conscience. “By the end of my time at NaviHealth I realized — I’m not an advocate, I’m just a moneymaker for this company,” one former employee said. www.statnews.com/2023/11/14/u...
UnitedHealth executives pressured clinical staff to follow an algorithm to cut off patients’ rehab care, leading to coverage decisions that may violate Medicare regulations.
That’s not all: NaviHealth had talking points to counter “resistance” from nursing homes. The company even wanted case managers to confront patients about why they are appealing payment denials, which patients have every right to do. www.statnews.com/2023/11/14/u...
UnitedHealth executives pressured clinical staff to follow an algorithm to cut off patients’ rehab care, leading to coverage decisions that may violate Medicare regulations.