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Filtered field notes — Optum.

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All optum posts.

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Optum

Optum Is Not Your Insurer's Partner, It Is Your Insurer: UnitedHealthcare Pays Its Own Optum Doctors 17% More

Optum and UnitedHealthcare share one parent, UnitedHealth Group. A November 2025 Health Affairs study found UnitedHealthcare pays Optum-owned practices 17% more than nearby practices, and up to 61% more where it dominates the local market. The referee and the player wear the same jersey.

Jul 06, 2026 Matthew Sexton, LCSW
prior authorization

EviCore and the Invisible Gatekeeper: Prior Authorization for 100 Million Americans, and Who Is Actually Deciding Your Mental Health Care

A company most patients have never heard of makes coverage decisions for about 100 million insured Americans, roughly 1 in 3 people with insurance. And when it comes to therapy, the reviewer behind the curtain isn't the one you'd guess.

Jul 06, 2026 Matthew Sexton, LCSW
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