UHealth and UnitedHealthcare still without a deal, 5 days to deadline
Plus: HHS defers $1.07B in Medicaid funding to California and Minnesota over fraud concerns. The day's rules, money, and enforcement, sourced and tiered below.
Plus: HHS defers $1.07B in Medicaid funding to California and Minnesota over fraud concerns. The day's rules, money, and enforcement, sourced and tiered below.
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American Health Intel
Rules · Money · Medicine · Decoded daily
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| The Ledger |
Sunday, July 26, 2026 |
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UHealth and UnitedHealthcare still without a deal, 5 days to deadline
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Plus: HHS defers $1.07B in Medicaid funding to California and Minnesota over fraud concerns. The day's rules, money, and enforcement, sourced and tiered below.
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Other Confidence: High
UHealth, the University of Miami's academic health system, and UnitedHealthcare, the nation's largest insurer, still have no new contract, now just 5 days from a deadline that could take UHealth out of network.
The July 31 deadline is unchanged since we first covered this July 22. UHealth says United hasn't offered fair rates; United says UHealth wants outsized hikes. Medicare Advantage members keep coverage through August 31 under a separate deal.
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Why it matters
If you or a family member is a UnitedHealthcare member in South Florida, watch for an out of network notice, though a deal could still land before July 31.
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Enforcement Confidence: High
The Trump administration is withholding $1.07 billion in federal Medicaid funding from California and Minnesota this month, citing suspected fraud in high-risk claims categories like in-home care.
California loses $867.5 million, Minnesota $199 million, spanning 14 flagged claims categories. Both states dispute the fraud framing and are weighing legal challenges. It's a deferral, not a permanent cut, but the cash is frozen now.
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Why it matters
If you live in California or Minnesota and rely on Medicaid, especially in-home care, watch for payment or service disruptions while the review is underway.
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266 Records | $18.7B Enforcement | 10 Deadlines | 83 Rules |
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