3 ms·
What I mean is that what insurers do is try to screw people out of money and receiving necessary treatment to line their own pockets. Here’s a fairly concrete e
by bugglebeetle 3y ago
What I mean is that what insurers do is try to screw people out of money and receiving necessary treatment to line their own pockets. Here’s a fairly concrete example:
https://www.propublica.org/article/unitedhealth-healthcare-insurance-denial-ulcerative-colitis https://www.propublica.org/article/unitedhealth-healthcare-i...
- nradov 3y agoInsurers do deny some claims and authorization requests, but in most cases this doesn't line their own pockets. Rather the opposite. Most large employers are now self insured, and the medical "insurance" companies just administer claims. Due to the 85% minimum medical loss ratio imposed by the Affordable Care Act (Obamacare), insurers actually make more profit when they approve more treatments. When claims or authorizations are denied it's generally because large employers have been pushing back to control their own costs. Unfortunately, many consumers don't understand this market dynamic and direct their blame in the wrong direction.
- bugglebeetle 3y agoApologies, but this is complete bullshit. They make money by denying expensive claims, regardless of whether or not people actually need the treatment, and optimize for this despicable behavior.
- nradov 3y agoI have given you accurate information. If you choose to remain ignorant then that is your affair. The reality is that payers that offer health plans to self-insured employers don't make money by denying claims.
- bugglebeetle 3y agoNo, you’ve intentionally tried to deflect and deceive across this entire thread, as is obvious from all the downvotes and comments you’ve received. It’s quite bold to lie and say insurance companies don’t deny claims to make money, since there are only myriad news stories, court cases, books, films, etc about them doing so, but you do you.