3 ms·
Exactly. It’s too easy for these decisions to become a formality. ProPublica’s reporting on Cigna[1] is a great example: > Before health insurers reject claims
by Keegs 3y ago
Exactly. It’s too easy for these decisions to become a formality. ProPublica’s reporting on Cigna[1] is a great example:
> Before health insurers reject claims for medical reasons, company doctors must review them, according to insurance laws
> A Cigna algorithm flags mismatches between diagnoses and what the company considers acceptable tests and procedures for those ailments
Sounds fine, except
> “We literally click and submit,” one former Cigna doctor said. “It takes all of 10 seconds to do 50 at a time.”
[1]: https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims https://www.propublica.org/article/cigna-pxdx-medical-health...