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Re:U.S. opens UnitedHealth antitrust probe by lotsofpulp on Tuesday February 27, 2024 @11:12PM (#39533894)
> UHC and UnitedHealth group need to be broken up, and these incestuous relationships between insurance companies, private equity companies, and care providers need to be stopped by the SEC, because their only purpose is to exploit the wrapping up of care providers under one umbrella to extract more money for less work from people seeking essential services.

How about Kaiser Permanente? They have been a vertical healthcare provider/insurance organization for many decades. You pay Kaiser premiums, you see Kaiser doctors, and you get your medicine from Kaiser pharmacies.

Re:U.S. opens UnitedHealth antitrust probe by t-writescode on Wednesday February 28, 2024 @03:20AM (#39535394)
Kaiser is an HMO, which is a different style of operating vehicle.
Re:U.S. opens UnitedHealth antitrust probe by lotsofpulp on Wednesday February 28, 2024 @08:51AM (#39537874)
An HMO is a type of managed care plan (or health insurance plan). Kaiser sells both HMO and PPO plans.

https://healthy.kaiserpermanente.org/northern-california/sho...

https://healthy.kaiserpermanente.org/northern-california/lea...

The old style HMO only plan organizations are almost all gone.

https://en.wikipedia.org/wiki/Health_maintenance_organizatio...

> When HMOs were coming into existence, indemnity plans often did not cover preventive services, such as immunizations, well-baby checkups, mammograms, or physicals. It is this inclusion of services intended to maintain a member's health that gave the HMO its name.

Since the above services are required in all plans by law since ACA, there is much less difference between an HMO style plan and a PPO plan where you only go to in network providers.

Re:U.S. opens UnitedHealth antitrust probe by throwway120385 on Wednesday February 28, 2024 @07:35PM (#39545297)
Kaiser directly owns the provider arm. In my experience they operate totally differently from UHC. Many of their plans require you to use their provider, so you're basically prepaying for medical care from them.

UHC is notionally a PPO, but because Optum is owned by the same parent company and Optum is buying up all the providers, they're slowly becoming an HMO by monopoly. They play off of each other in any dispute.

I've had better experiences with Kaiser and had a family member who worked for them for a couple of decades.