Late Stage Capitalism

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America's Most Hated Insurer Found a New Way to Cut Off Newborns. It's Also Illegal. (youtu.be)

submitted 3 weeks ago by greenmonster@lemmy.dbzer0.com to c/latestagecapitalism@lemmy.world

3 comments fedilink hide all child comments

Cross posted from https://lemmy.dbzer0.com/post/70732778

Cross posted from https://lemmy.dbzer0.com/post/70732775

Starting September 1, 2026, UnitedHealthcare — the largest health insurer in the country — will stop separately reimbursing lactation consultants for the baby's portion of a home visit, paying only for the mother.

The company calls it eliminating "duplicate payments." Lactation consultants like New Jersey's Danielle Tropea say it cuts their reimbursement roughly in half — from about $250 to around $125 — for the same visit, the same baby, the same work.

The Affordable Care Act mandates breastfeeding support at no cost to families, so this is a billing-code workaround on a benefit the law guarantees. Here's how the trick works, and who actually pays for it.

SOURCES STAT News — "UnitedHealthcare's lactation billing feud, and fake strokes": statnews.com/2026/06/08/unitedhealth-lactation-counseling-policy-medicare-advantage-audits-stroke

WHYY — "N.J. breastfeeding service providers face pay cuts with UnitedHealthcare insurance's lactation billing change": whyy.org/articles/new-jersey-breastfeeding-service-providers-insurance

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[–] GirthBrooksPLO@lemmy.world 9 points 3 weeks ago