Connect with us

Published

on

Two months after a cyberattack on a UnitedHealth Group subsidiary halted payments to some doctors, medical providers say they’re still grappling with the fallout, even though UnitedHealth told shareholders on Tuesday that business is largely back to normal. Use Our Content

It can be republished for free.

We are still desperately struggling, said Emily Benson, a therapist in Edina, Minnesota, who runs her own practice, Beginnings & Beyond. This was way more devastating than covid ever was.

Change Healthcare, a business unit of the Minnesota-based insurance giant UnitedHealth Group, controls a digital network so vast it processes nearly 1 in 3 U.S. patient records each year. The network is a critical conduit for shuttling information between most of the nations insurance companies and medical providers, who submit claims through it to get paid for treating patients.

For Benson, the cyberattack continues to significantly disrupt her business and her ability to pay her seven other clinicians.

Before the hack brought down the system, an insurance company would process a providers claim, then send a type of receipt known as an electronic remittance, which details the amount the provider was paid and whether the claim was denied. Without it, providers dont know if they were paid correctly or how much to bill patients. 

Now, instead of automatically handling those receipts digitally, some insurers must send forms in the mail. The forms require manual entry, which Benson said is a time-consuming process because it requires her to match up service dates and details to divvy up pay among her clinicians. And from at least one insurer, she said, she has yet to receive any remittances.  

Im holding on to my sanity by a thread, Benson said.

The situation is so dire, Alex Shteynshlyuger, a urologist who owns a practice in New York City, said he had to transfer money from his personal accounts to pay his office bills.  

Look, I am freaking out, Shteynshlyuger said. Everyone is freaking out. We are like monkeys in a cage. We cant really do anything about it. Email Sign-Up

Subscribe to KFF Health News' free Morning Briefing. Your Email Address Sign Up

Roughly 30% of his claims were routed through Changes platform. Except for Medicare and certain Blue Cross plans, he said, he has been unable to submit claims or receive payment from any insurers.

The company is encouraging struggling providers to reach out to the company directly via its website, said Tyler Mason, vice president of communications for UnitedHealth Group.

I dont think weve had a single provider that hasnt been helped thats contacted us. As part of that help, Mason said, UnitedHealth has sent providers $7 billion so far.

Ever since the February cyberattack forced UnitedHealth to disconnect its Change platform, the company has been working day and night to restore services and has made substantial progress, UnitedHealth CEO Andrew Witty told shareholders April 16. 

We see a fairly normal claims receipts and payments flow going on at this point,” Chief Financial Officer John Rex said during the shareholder call. But well really want to be careful on that because we know there are certain care providers out there that may have been left out of it.

Rex said the company expects full operations to resume next year.

The company reported that the hacking has already cost it $870 million and that leaders expect the final tally to total at least $1 billion this year. To put that in perspective, the company reported $99.8 billion in revenue for the first quarter of 2024, an 8.6% increase over that period last year.

Meanwhile, the House Energy and Commerce Health Subcommittee held a hearing April 16 seeking answers on the severity and damage the cyberattack caused to the nations health system.

Subcommittee chair Brett Guthrie (R-Ky.) said a provider in his hometown is still grappling with the fallout from the attack and losing staff because they can’t make payroll. Providers still haven’t been made whole, Guthrie said.

Rep. Frank Pallone Jr. (D-N.J.) voiced concern that a single point of failure reverberated around the country, disrupting patients access and providers financial stability.

Lawmakers expressed frustration that UnitedHealth failed to send a representative to the Capitol to answer their questions. The committee had sent Witty a list of detailed questions ahead of the hearing but was still awaiting answers.

As providers wait, too, they are trying to cover the gaps. To pay her practices bills, Benson said, she had to take out a nearly $40,000 loan from a division of UnitedHealth.

Samantha Liss: samanthal@kff.org, @samanthann Related Topics Health Industry Insurance Medicare Health IT Minnesota New York U.S. Congress Contact Us Submit a Story Tip

Continue Reading

Sports

Quenneville: Lessons learned before Ducks hire

Published

on

By

Quenneville: Lessons learned before Ducks hire

ANAHEIM, Calif. — Joel Quenneville returned to hockey Thursday with contrition. He acknowledged mistakes and said he accepted full responsibility for his role in the Chicago Blackhawks sexual assault scandal.

The second-winningest coach in NHL history said he is a changed man after nearly four years away from the game. As he took over behind the bench of the Anaheim Ducks, he vowed to continue to educate himself about abuse, to expand his work with victims, and to create an unimpeachably safe workplace with his new team.

Quenneville also realizes that’s not nearly enough to satisfy a significant segment of hockey fans that believes his acknowledged inaction during the Blackhawks scandal should have ended his career forever.

“I fully understand and accept those who question my return to the league,” Quenneville said. “I know words aren’t enough. I will demonstrate (by) my actions that I am a man of character.”

Ducks owner Henry Samueli and general manager Pat Verbeek strongly backed the 66-year-old Quenneville when they introduced him as the coach of a franchise stuck in a seven-year playoff drought and thirsting for the success Quenneville has usually orchestrated.

He won three Stanley Cups with the Blackhawks and took 20 teams to the playoffs during a quarter-century with four NHL clubs, becoming the most consistent winner of his era.

While Quenneville’s on-ice record was remarkable, his off-ice behavior in 2010 eventually led to his resignation from the Florida Panthers in October 2021 and a lengthy banishment from the league — a ban that many feel should be permanent.

“I own my mistakes,” Quenneville said, occasionally pausing in his delivery of a written statement. “While I believed wholeheartedly the issue was handled by management, I take full responsibility for not following up and asking more questions. That’s entirely on me. Over nearly four years, I’ve taken time to reflect, to listen to experts and advocates, and educate myself on the realities of abuse, trauma and how to be a better leader. I hope others can learn from my inaction.”

Quenneville and Blackhawks executives Stan Bowman and Al MacIsaac were banned from the NHL for nearly three years after an independent investigation concluded the team mishandled allegations raised by former player Kyle Beach against video coach Brad Aldrich during the team’s first Stanley Cup run. The trio was reinstated last July, and Bowman became the Edmonton Oilers‘ general manager three weeks later.

After an investigation and vetting process that lasted several days and included communication with Beach and other sexual assault victims and advocacy groups, the Ducks’ owners ultimately supported the decision made by Verbeek, Quenneville’s teammate in New Jersey and Hartford more than three decades ago.

Samueli and his wife, Susan, and their daughter, Jillian, all spoke at length with Quenneville. Henry Samueli said he is “absolutely convinced Joel is a really good person.”

“I think the four years that Joel spent out of hockey has really given him an opportunity to learn a lot,” Samueli said. “In my mind, he will be a model coach for dealing with situations like this. I think he will be a mentor to other coaches in the league who can come to him and talk to him. ‘How do you handle situations like that? What do you do?’ And they’ll trust him, because he’s old-school who’s changed. The fact that he comes from an old-school hockey culture, but now has transitioned and learned what it means to operate in 2025, not 1980 or whatever, I think that will make a big difference in how he operates.”

Quenneville said he understands just how badly his reputation and career were damaged by his role in the Blackhawks’ handling of the accusations against Aldrich. He remained out of hockey for another season after his ban ended, but became increasingly eager to continue his career last winter while watching games every night and staying closely informed on the league.

“I thought I had some work to do in growing as a person,” Quenneville said. “As far as doing work along the way, I felt I had progressed to an area where the education I had put me in a position where I know I can share some of these lessons and these experiences as well.”

Many people with a firsthand knowledge of Quenneville’s attempts to change himself supported his desire to return. Quenneville said he has spoken to Beach several times recently, including Thursday morning.

He has formed learning friendships with advocates including Chris Jensen, the former University of Wisconsin player and Maple Leafs draft pick who was abused by a coach as a teenager.

“I think most of the athletes that have played for him would argue that this guy has helped me be better,” Jensen said. “He brings all that expertise, and now he’s got additional perspective about how to be available to help people deal with emotional injury. I think he’s in a much better position to be successful.”

The Ducks’ charitable foundation is already involved in charitable and philanthropic work supporting survivors of sexual abuse, and Samueli expects Quenneville to support those efforts.

“I’m very confident that Joel will be a star when it comes to working with those organizations,” Samueli said.

Before his ban, Quenneville spent parts of 25 NHL seasons behind the benches of St. Louis, Colorado, Chicago and Florida, most notably leading the Blackhawks to championships in 2010, 2013 and 2015. His 969 career victories are the second-most in NHL history, trailing only Scotty Bowman’s 1,244.

Quenneville takes over a team with the NHL’s third-longest active playoff drought. Anaheim finished sixth in the Pacific Division this season at 35-37-10 after being in the bottom two for the previous four consecutive years.

He replaces Greg Cronin, who was surprisingly fired by Verbeek after leading the Ducks to a 21-point improvement in his second season.

Quenneville inherits an Anaheim team with an ample stock of young talent, and he was immediately impressed by their roster when he saw it in person during Anaheim’s road trip to Tampa Bay last January. He also coached Ducks captain Radko Gudas and forward Frank Vatrano in Florida.

“One of the best coaches I’ve ever had, and I always tell people that,” said Vatrano, who attended Quenneville’s introductory news conference. “As a person, he’s a great person, too. That’s what always draws me to Q. I’m a huge advocate for him, and I’m glad he’s here.”

Continue Reading

Politics

SEC’s Crenshaw slams Ripple settlement, warns of ‘regulatory vacuum’

Published

on

By

SEC’s Crenshaw slams Ripple settlement, warns of ‘regulatory vacuum’

SEC’s Crenshaw slams Ripple settlement, warns of ‘regulatory vacuum’

A crypto-skeptical commissioner at the US Securities and Exchange Commission has blasted her agency over its settlement letter that could finally end the Ripple legal saga.

The SEC and Ripple filed a joint settlement letter in a New York court asking for the August 2024 injunction against Ripple to be dissolved and $75 million of the $125 million in civil penalties held in escrow to be returned to the crypto firm, according to a May 8 statement from the SEC.

SEC Commissioner Caroline Crenshaw blasted the pending deal in a May 8 statement, saying it would damage the regulators’ ability to keep crypto firms in line and undermine the court’s ruling.

SEC’s Crenshaw slams Ripple settlement, warns of ‘regulatory vacuum’
Source: James Filan

“This settlement, alongside the programmatic disassembly of the SEC’s crypto enforcement program, does a tremendous disservice to the investing public and undermines the court’s role in interpreting our securities laws,” she said.

“In the meantime, the settlement joins a line of dismissals that collectively erode the credibility of our lawyers in court who are being asked to take legal positions today contrary to the ones taken just months ago.”

Under the Trump administration, the SEC has slowly been walking back its hardline stance toward crypto firms forged under former SEC Chair Gary Gensler’s reign, dismissing a growing number of enforcement actions against crypto firms.

At the same time, Crenshaw argues that if Judge Torres accepts the settlement, it would erase “the investor protections we already won” and leave a “regulatory vacuum,” until the crypto task force hammers out a regulatory framework.

“The settlement is not in the best interests of the investors and markets that our agency is tasked with serving and protecting. It creates more questions than answers.”

In August last year, a Judge ordered Ripple to pay $125 million in penalties after ruling the firm’s XRP (XRP) token was covered by securities laws when sold to institutional investors.

What’s next for the Ripple case? It’s not over yet

While the SEC and Ripple have agreed to a settlement, it’s still not a done deal, according to ex-federal prosecutor James Filan, because there are several steps before the long-running legal saga can conclude.

For a start, Judge Torres needs to provide an indicative ruling if she agrees to the settlement letter, Filan said in a May 8 analysis on X.

SEC’s Crenshaw slams Ripple settlement, warns of ‘regulatory vacuum’
Source: James Filan

If Torres provides an indicative ruling, the SEC and Ripple will ask the Second Circuit Court of Appeals for a limited remand back to Judge Torres, which, if granted, will result in another motion being filed for the agreed settlement, according to Filan.

Related: Bitnomial drops SEC lawsuit ahead of XRP futures launch in the US

“After the injunction is dissolved and the funds distributed, the SEC and Ripple will ask the Court of Appeals to dismiss the SEC’s appeal and Ripple’s cross-appeal. Then it will be over,” he said.

The SEC initially launched legal action against Ripple Labs in December 2020, accusing the firm of illegally selling its token as an unregistered security. 

Magazine: SEC’s U-turn on crypto leaves key questions unanswered

Continue Reading

Sports

New coach Sullivan praises Rangers ‘leadership’

Published

on

By

New coach Sullivan praises Rangers 'leadership'

For Mike Sullivan, the latest coach of the New York Rangers, there will be many priorities in taking over a team that missed the playoffs a season after winning the Presidents’ Trophy.

Foremost will be communication.

“I have spoken to every player on the roster over the last three days,” Sullivan said Thursday at his introductory news conference. “I think there is a fair amount of leadership in that room. There’s a lot of character in that room.”

Sullivan, the 38th coach in franchise history and fifth since 2018, agreed to lead the Rangers on May 2 after parting ways with Pittsburgh, with whom he won the Stanley Cup twice.

He replaces Peter Laviolette, who was fired April 19 after the Rangers slid 29 points to miss the postseason despite their raft of talent. It will be up to Sullivan to resuscitate a power play that fell from the league’s top echelon to 28th overall in 2024-25 and help the defense improve in front of elite goaltender Igor Shesterkin, who is coming off his worst NHL season.

Sullivan spent four seasons as a Rangers assistant under then-coach John Tortorella from 2009 to 2013. He also coached current Rangers president and general manager Chris Drury during that time. They also worked together through USA Hockey at the 4 Nations Face-Off in February and will be part of the U.S. contingent for the 2026 Milan Olympics.

Sullivan will have top scorers Artemi Panarin, Mika Zibanejad and Adam Fox on his side after years guiding Penguins stars Sidney Crosby, Evgeni Malkin and Kris Letang in Pittsburgh, where he won the Cup in 2016 and 2017.

“I’ve grown so much respect over the years for the talent that the Rangers have,” said Sullivan, who lost a seven-game first-round playoff series to the Rangers in 2022. “I look forward to the opportunity to get to know these guys on a more personal level. I look forward to the opportunity to work with them, both on the ice and off the ice, to try to become the most competitive team that we can become.”

Also pressing for the 57-year-old Sullivan — who was drafted by the Rangers in 1987 and later played 709 NHL games for four other franchises — is how he will handle younger Rangers such as 22-year-old Brennan Othmann and 20-year-old Gabe Perreault, a first-round pick in 2023 who joined the team briefly at the end of last season.

“Part of coaching or the art of coaching, I guess, is trying to figure out what that daily recipe is that’s best for the player,” Sullivan said. “Sometimes it’s time in the American League as a young player, sometimes it’s time in the National League depending on the types of minutes that that player can play. What I will tell you is that I think it’s important that every player earns their opportunities, that no one’s entitled to an opportunity.”

Sullivan was joined Thursday by Drury, who was awarded a contract extension last month.

Drury’s previous two coaching hires — Laviolette and Gerard Gallant — each lasted two seasons. The 48-year-old executive expressed enthusiasm for the addition of Sullivan, the only U.S.-born coach with multiple Stanley Cup wins.

“The second Mike was available, we quickly and aggressively pursued him,” Drury said. “We are certainly thrilled that pursuit led us to this moment today. There’s a lot of work to be done.”

Continue Reading

Trending