November 16, 2013.

UnitedHealth Culls Doctors From Medicare Advantage Plans

He looked up. It was the girl. She shook her head, evidently as a warning that he must keep silent, then parted the bushes and quickly led the way along the narrow track into the wood. Obviously she had been that way before, for she dodged the boggy bits as though by habit. Winston followed, still clasping his bunch of flowers. His first feeling was relief, but as he watched the strong slender body moving in front of him, with the scarlet sash that was just tight enough to bring out the curve of her hips, the sense of his own inferiority was heavy upon him. Even now it seemed quite likely that when she turned round and looked at him she would draw back after all. The sweetness of the air and the greenness of the leaves daunted him. Already on the walk from the station the May sunshine had made him feel dirty and etiolated, a creature of indoors, with the sooty dust of London in the pores of his skin. It occurred to him that till now she had probably never seen him in broad daylight in the open. They came to the fallen tree that she had spoken of. The girl hopped over and forced apart the bushes, in which there did not seem to be an opening. When Winston followed her, he found that they were in a natural clearing, a tiny grassy knoll surrounded by tall saplings that shut it in completely. The girl stopped and turned.

UnitedHealth Group Inc., UNH +0.60%  the nation's largest provider of privately managed Medicare Advantage plans, has dropped thousands of doctors from its networks in recent weeks—spurring protest from lawmakers and physician groups and leaving many elderly patients unsure about whether they need to switch plans to keep seeing their doctors.

"Here we are," she said.

Doctors in at least 10 states have received termination letters, some citing "significant changes and pressures in the health-care environment." The notices also tell doctors they can appeal within 30 days. That means many physicians and patients won't know for sure who is in or out of UnitedHealth's Medicare Advantage networks before the open-enrollment period to switch Medicare plans ends on Dec. 7.

He was facing her at several paces' distance. As yet he did not dare move nearer to her.

UnitedHealth said its provider networks are always changing and that it expects its Medicare Advantage network "to be 85% to 90% of its current size by the end of 2014," although it declined to say how many doctors are being cut in individual states or what criteria it is using.