Comparing UnitedHealthcare, Other Medicare Advantage Carriers

Navigating the world of retiree health care can be a challenge with countless carriers and plans available. Carriers can differ widely, not just in the kinds of benefits they offer, but also how they operate and process claims.

Recently, there has been news coverage of Medicare Advantage plans—comprehensive plans from private insurers that combine Medicare Part A and Part B with Part D prescription coverage—and their use of prior authorization to approve or deny certain types of care.

Insurance companies sometimes require prior authorization before a doctor can provide treatment to a patient, often for very expensive or complicated procedures. A common complaint about the prior authorization process is that it can lead to delays in care. Insurance carriers, on the other hand, argue it’s an important part of making sure patients are receiving appropriate treatment.

In a recently released report, KFF (formerly the Kaiser Family Foundation) analyzed Medicare Advantage data from the Centers for Medicare & Medicaid Services for the year 2023 and compared insurance carriers on their use of prior authorizations. That analysis included UnitedHealthcare and Kaiser Permanente, both of which provide PERACare Medicare Advantage plans.

The KFF analysis found that while UnitedHealthcare’s prior authorization denial rate was in the middle of the pack (9.1%), the company averaged just one prior authorization request per member for the year, which was the second-lowest among all carriers. Kaiser Permanente had a denial rate of 10% and averaged 0.5 prior authorization requests per member.

It’s important to note that medical providers initiate prior authorization requests, not patients. Patients with questions about prior authorizations should first reach out to their doctor and then the insurance carrier if any questions remain. For PERACare questions that remain unanswered, PERA may be able to further research the issue with the carrier.

Selecting a health care plan is a complex decision with many important factors to consider, including provider networks, premiums, deductibles, out-of-pocket maximums, and more. At Colorado PERA, we strive to select PERACare carriers that provide a high level of coverage and large provider networks while balancing cost. We encourage our members to examine all options available to them before choosing a plan that fits their needs.

Learn more about PERACare plans at copera.org/peracare.

Learn more about prior authorization on UnitedHealthcare’s website or Kaiser Permanente’s website.

News You Should Know: Latest Forecasts Add Uncertainty to State Budget

Recession Risk Grows, Adding Uncertainty to Colorado Budget Crunch | The Colorado Sun

There’s still a lot of uncertainty as the deadline approaches for the Legislature to release its budget plan for the next fiscal year. State economists say that while Colorado’s economy is growing, unemployment is rising and spending and economic growth are slowing. At the same time, lawmakers are trying to find ways to cut over $1 billion from the state budget.

Americans Lost $5.7 Billion to Investment Scams in 2024, FTC Says. Here’s How to Protect Yourself | CNBC

Investment scams are on the rise—the latest data from the Federal Trade Commission show Americans lost $5.7 billion to investment scams in 2024, up 24% from the year before. Officials say scamming operations have become more sophisticated, and criminals stole an average of more than $9,000 from victims last year. Here are some tips for spotting and avoiding potential scams.

The IRS Has Issued a Whopping $145 Billion in Tax Refunds so Far | CNET

Tax season is well underway, and the Internal Revenue Service (IRS) reports its tax return processing is mostly on par with last year, so far. The IRS says it has processed more than 60 million returns since tax season began and issued more than 43 million refunds, with an average refund of more than $3,300.

What to Know About Trump’s ‘Crypto Strategic Reserve’ Plan | NPR

President Donald Trump announced his intent to create a strategic reserve of cryptocurrency similar to the U.S. stockpile of gold. While there are still many questions about how a cryptocurrency reserve might work, the U.S. government already holds billions of dollars in bitcoin seized from criminal cases.


News You Should Know is a digest of news from publications around the nation about finance, investing, and retirement.

PERA Board Adopts New Strategic Plan at March 2025 Meeting

The PERA Board of Trustees met at PERA’s offices in Denver on Friday, March 14 for its second regular meeting of the year.

The Trustees took action and received updates on several important topics, including strategic planning, legislation, and the upcoming Board election.

Board election update

PERA’s internal audit team presented an update on this year’s Board election. There are five seats up for election and 21 candidates will be vying for those seats, staff said.

PERA members and retirees who are eligible to vote will receive ballots in early May. New this year, voting will be available through the Colorado PERA mobile app and secure online portal in addition to mail and phone voting.

The Board will announce election results at its June 27 meeting.

Legislative update

CEO/Executive Director Andrew Roth and Director of Public & Government Affairs Michael Steppat provided an update on the 2025 legislative session so far.

Of the six PERA-related bills introduced so far, two remain under consideration: House Bill 1105, which would reduce the employer contribution rate for the Denver Public Schools Division, and Senate Bill 147, which would modify a number of provisions under current law related to the PERA Board. Two bills that would have provided tax relief to retirees, House Bill 1052 and Senate Bill 136, have failed.

In addition, lawmakers passed a bill that will suspend interim legislative activity in an effort to reduce costs and free up funds for the state budget. That means the Pension Review Commission and Pension Review Subcommittee, which usually meet every year in between legislative sessions, will not meet this year.

READ MORE: 2025 Proposed PERA-Related Legislation Status

New strategic plan

Following many months of work, the Board took the important step of adopting PERA’s next strategic plan, which will guide organizational priorities and aspirations over the next three years. The plan defines PERA’s long-term direction and provides a high-level roadmap for achieving its priorities, ensuring alignment between the Board and staff.

The plan focuses on three main strategic goals:

  • Financial stability: Strengthen PERA’s long-term financial health
  • Customer/stakeholder experience: Be a trusted partner in service to members
  • Organizational excellence and modernization: Create value through exceptional performance

With the Board’s adoption of the plan, it’s now up to staff to implement it. Yearly implementation plans will provide concrete steps toward achieving the plan’s goals and objectives over the next three years.

READ MORE: PERA Board Adopts New Three-Year Strategic Plan

Pension administration modernization update

PERA is in the early stages of a multi-year project to modernize the core technology systems used to administer benefits, and staff have been providing the Board with regular updates as the project progresses.

Chief Technology Officer Ryan Ericson, Chief Administrative Officer Jeremy Hill, and Chief Benefits Officer Patrick Lane highlighted some of the preparatory work staff have been doing, such as data cleanup, business process mapping and improvement, and staff onboarding.

CEO/Executive Director update

Board meetings commonly include an update from PERA’s CEO/Executive Director, Andrew Roth. Roth detailed some of the work he and staff have been doing to engage with stakeholders and enhance transparency.

Since he joined PERA last year, Roth has been meeting with many stakeholder groups, such as legislators and business leaders as well as educator groups like the Colorado Education Association and coalitions like Secure PERA.

On transparency, Roth discussed PERA’s efforts to make information about the Board and Board meetings more readily available. That includes posting three years’ worth of meeting materials, livestream recordings of past meetings, and ensuring materials for upcoming meetings are posted online ahead of time.

Market and portfolio update

Chief Investment Officer/Chief Operating Officer Amy C. McGarrity provided the Trustees with an update on recent economic and market conditions. McGarrity explained that U.S. stocks—particularly tech stocks—have seen volatility so far this year and there’s uncertainty in the markets. And while inflation is down, concerns remain that higher prices will persist in coming years.

McGarrity also explained that while PERA sometimes receives questions or criticisms about its investment program and active asset management, the Board’s strategic asset allocation, with its focus on diversification, has proven itself over the long term.

“Certainly in any short-term period we may experience volatility and even underperform the markets, but long-term we’ve done really well,” McGarrity said. As of Dec. 31, 2024, PERA’s total portfolio has earned an annualized return of 8.3% over the past 30 years.

Upcoming Board meetings

The Board concluded by reviewing meeting dates for the remainder of the year. They are:

  • June 27
  • September 17-19 (offsite planning session and meeting)
  • November 21

For more information on upcoming Board meetings or to view materials from past meetings, visit copera.org/about/board-and-leadership.

News You Should Know: Will IRS Staff Reductions Affect Tax Filing Season?

Will the Expected IRS Staff Cuts Delay my 2025 Tax Refund? | CBS News

The federal government’s downsizing efforts have extended to the Internal Revenue Service, where thousands of positions are expected to be cut in the middle of the busy tax season. While most taxpayers likely won’t encounter any trouble with their returns, there may be delays for anyone who needs to reach out to the IRS for customer service.

The Unsung Economic Engine: Retiree Pension Spending | Forbes

An annual analysis from the National Institute on Retirement Security highlights the significant contributions retirees make to local and national economies. Their pension spending results in $1.5 trillion in economic output and supports 7.1 million jobs nationwide, according to NIRS. On a more local level, PERA paid $4.55 billion in benefits to more than 114,000 retirees who lived in Colorado 2023, resulting in $7.1 billion in economic output and supporting more than 28,000 jobs.

401(k) Millionaire Ranks Up 27% in 2024, Says Fidelity | 401k Specialist

Retirement plan recordkeeper Fidelity says its data show a significant increase in the number of people with over a million dollars saved for retirement last year. The company noted a 27% increase in 401(k) “millionaires” over the course of 2024, most of them members of the Baby Boom generation and Generation X. On average, they’ve been saving for 26 years and contribute 17% of their income to their retirement accounts, according to Fidelity.

More Older Adults Living Disability-Free Lives, and That’s ‘Extremely Encouraging,’ Researcher Says | McKnight’s Senior Living

We know people tend to live longer than they did generations ago, and new research sheds some light on the quality of that extended lifespan. A recent analysis finds that the percentage of older Americans who say they’re living without a disability has increased in recent years—reaching 65% in 2017.


News You Should Know is a digest of news from publications around the nation about finance, investing, and retirement.

PERA Board Supports Bill That Codifies Board Practices, Enhances Transparency

The Colorado PERA Board of Trustees voted to support SB25-147, a bill that proposes changes to statute regarding Board operations and transparency. The Trustees held a special meeting on Friday, February 28 to discuss the bill and take a position.

The bill from sponsors Sen. Byron Pelton, Sen. Chris Kolker, Rep. Lori Garcia Sander, and Rep. Meghan Lukens would modify state law to impose term limits on Trustees; define the PERA Board as a local public body instead of a state public body as it applies to the Colorado Open Meetings Law; and require that PERA post certain financial information online, including staff compensation and various other administrative expenses.

In addition to the above changes, the bill sets out in state law some current Board and staff practices, including:

  • Posting Board meeting materials and recordings on PERA’s website: PERA currently streams every Board meeting on copera.org and YouTube, and recordings are available afterward. Agendas for Board meetings are posted in advance and materials from past meetings are also available online.
  • Providing instructions for members of the public to participate in Board meetings: PERA currently provides multiple ways to communicate with the Board, including public comment (in person and over the phone) at every regular meeting and a Board-specific email address on the Contact Us page.
  • Posting audited financial statements online: PERA’s Annual Comprehensive Financial Report (ACFR) contains detailed information about PERA’s finances, membership, and operations. The ACFR and all other annual financial reports are available online.

In their conversation about the bill and its proposed changes, Trustees discussed the importance of transparency in maintaining trust with stakeholders. The Board’s vote to support the bill demonstrates its commitment to making PERA more open and accountable.

“Strong governance and clear communication with our members and the public are vital to a mission-driven organization like Colorado PERA, and we believe Senate Bill 147 helps affirm our commitment to transparency,” said CEO/Executive Director Andrew Roth. “I want to thank the sponsors for bringing this bill before the Legislature, and we look forward to further engagement with policymakers as it makes its way through the General Assembly.”

On February 25, the Senate Finance Committee voted unanimously to refer the amended bill to Appropriations, where it remains under consideration.

Learn more and read the full text of the bill on the General Assembly’s website.