In February, hackers targeted Change Healthcare, a clearinghouse for insurance claims, a company that was relatively unknown to many. On May 1, Andrew Witty, CEO of UnitedHealth Group, testified before the Senate. UnitedHealth Group owns Change Healthcare and is one of the largest companies in the country. The cyberattack on Change Healthcare highlighted how vertical integration in the healthcare industry can negatively impact patients. Witty’s testimony did not ease Congress’ concerns about Change Healthcare’s security against future attacks or the questionable practices of United Health Group, including its subsidiary OptumRx, a major pharmaceutical benefits manager (PBM) company.
Nearly half of all insurance claims go through the Change Healthcare system, which has been offline since the attack in February to prevent further breaches. Providers nationwide have been unable to receive payments, with small practices such as pharmacies and mental health clinics being hit the hardest. This cyberattack has made it more challenging for independent pharmacies to survive and serve their patients, as they are unable to submit claims and bill for services. Many providers have seen a significant drop in income, forcing them to use personal funds to keep their businesses afloat and maintain operations.
People are also reading…
In Montana, where patients already face challenges in accessing care due to distance, the cyberattack’s effects on providers may lead to fewer options for patients. Without a resolution to the unpaid claims issue, many pharmacies and clinics may be forced to close. This would not only impact patient care but also further consolidate UnitedHealth Group’s position in the healthcare industry.
The widespread impact of a single cyberattack on patients and providers raises concerns and calls for action from elected officials to hold PBMs like OptumRx and their enablers accountable. Even prior to the attack, the Department of Justice had launched an antitrust investigation into UnitedHealth Group, highlighting the risks of vertical integration in healthcare. UnitedHealth’s dominance has pushed competitors out and circumvented regulations meant to prevent such practices.
Montana patients deserve better healthcare services and answers in the face of such challenges. It is crucial for elected officials to take a stand against healthcare conglomerates and middlemen prioritizing profit over patient care.
Shellie Aune, executive director, Mental Health America of Montana.
