3 ms·
There is a real penalty? I mean, even if you implemented this, they would fight the penalty just like all the claims they fight today
by whoomp12342 4y ago
There is a real penalty? I mean, even if you implemented this, they would fight the penalty just like all the claims they fight today
- mywittyname 4y agoRight now, there's no cost to blanket denials, but there's a huge incentive to do it. My partner works on the hospital side of things, and several major insurance providers deny literally every claim. And why not? At worst, it just means that the insurance company can wait a year or more before paying. At best, they never pay. Of course, it's also the insurance companies who are adjudicating the claims.
- elliekelly 4y agoIt reminds me of this thread[1] from a few weeks ago. The article was so infuriating to read. [1]https://news.ycombinator.com/item?id=34639988 https://news.ycombinator.com/item?id=34639988
- darkarmani 4y agoMake the penalty increase exponentially each time they lose. Eventually, they will stop fighting it all.
- LorenPechtel 4y agoSo long as the penalty is higher than the percent of claims they get out of with their improper denials it would be enough to deter the behavior. You just need to tip the balance to making proper behavior cheaper.