Sarah

30.01.2025 14:08 — 👍 2    🔁 0    💬 0    📌 1

Optum document about prevalence of autism spectrum disorder and its evidence-based treatment approach (applied behavior analysis or ABA).

Optum document on "opportunity" in response to prevalence of autism: "With an expected increase in prevalence, coupled with lack of funding, current optimization efforts focus on utilization management, network optimization, Practice Management, PNI/FWA and state-specific advocacy efforts...Despite optimized clinical policies and guidelines, we see an increase in prevalence and AVPP, are heavily investing in expanding/enhancing UM, network optimization, and advocacy efforts (both policy and fiscally).

We have obtained what is effectively the company’s strategic playbook for limiting access to a type of therapy for kids with autism.

Through its Optum subsidiary, the company is "pursuing market-specific action plans” and "optimization efforts" to limit children’s access to the treatment.

13.12.2024 13:45 — 👍 530    🔁 112    💬 15    📌 6

UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism Leaked internal documents show that the insurance giant is culling providers of applied behavior analysis from its network and scrutinizing the medical necessity of therapy. Advocates say the company’...

NEW: After reviewing leaked documents, we have found UnitedHealth is strategically limiting access to a treatment for thousands of children with autism across the country in order to cut costs.

Advocates say the company’s strategy may be illegal.

www.propublica.org/article/unit...

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13.12.2024 13:34 — 👍 22846    🔁 10065    💬 955    📌 1143

SIMPLY HAVING A

14.12.2024 13:23 — 👍 48513    🔁 10785    💬 1108    📌 846