3 ms·
Yup, these are the same people who run software to scan for plausible errors in past insurance applications, focusing on people who get the most expensive disea
by toss1 5y ago
Yup, these are the same people who run software to scan for plausible errors in past insurance applications, focusing on people who get the most expensive diseases, then use those errors (e.g., a misstatement or omission of a completely minor and unrelated condition or treatment), as a pretext to now deny coverage.
So, not the patient, who has played by the rules their entire life, and properly paid into the system, is now literally fighting for their life, probably without a job, and is now denied the healthcare that they had paid for their entire life.
And when a case manager denies their claim and saves the company $500K, they get promoted for killing the patient.
This is not rumor. This is sworn testimony before congress.
"Fuck these people" indeed!! (except they may no longer qualify as people)
- fouric 5y ago> sworn testimony before congress Citation please?
- toss1 5y agoJust Google "health insurance recision congressional testimony". There were many, many hours of testimony about the dishonest practice. It was systemic in the industry before it was banned by the ACA/Obamacare. This is one of the most important features of the ACA. I've posted below only one of the first appearing links to articles on the testimony of industry insiders [1]. I don't have handy the link to the video I found most memorable. It was a woman who worked at a large insurer, who rescinded the insurance of a man with an expensive disease, who'd never missed a payment, and who died fighting to get the insurer to pay. so he could get treatment. She felt badly enough about it to testify, and was also promoted for saving the company money. Just because it sounds outrageous and dishonest does not mean that people won't do it. [1] https://abcnews.go.com/Business/Health/story?id=7911195&page=1 https://abcnews.go.com/Business/Health/story?id=7911195&page...