3 ms·
Over billing is a result of the complexity of the system. Care providers have to hire full-time staff trained to deal with insurance and file claims. Insurers
by cptskippy 6y ago
Over billing is a result of the complexity of the system. Care providers have to hire full-time staff trained to deal with insurance and file claims. Insurers negotiate rates with care providers that put them in a position of having no customers or ones they're paid poorly for. They have responded by playing games with billing and insurance to make ends meet.
Is it fair or honest? No but if they suddenly became fair and honest it would solve nothing because they're a symptom of the problem, not a source.
- jjoonathan 6y agoSame goes for insurance companies: just letting providers overbill would not solve the problem. I'm sure the overbilling and weaponized opaqueness are plausibly deniable, but I'm just as sure that providers don't mind one bit when they work, just as an insurance company doesn't mind when they discover an excuse to deny coverage. Providers are not "making ends meet," they are testing the limits of how far they can exploit the blank checks they have been written. They are not solely responsible for this mess, but they have a full share of moral and systemic culpability.