3 ms·
> The inspector general’s office found that 13% of the denied requests for treatment it reviewed and 18% of denied claims were for care that should have been co
by grogers 3y ago
> The inspector general’s office found that 13% of the denied requests for treatment it reviewed and 18% of denied claims were for care that should have been covered.
That is a lot lower than I expected based on the rest of the article. Maybe still a bit too high for false positives, but it's not outlandishly high. Those numbers make it seem like the insurers are doing a lot better job at avoiding unnecessary treatment than the doctors and hospitals are doing...
- Guvante 3y agoDon't assume Medicare is denying zero claims. That is certainly not the case. 87% of denials aren't fraudulent does not mean they caught all of those and Medicare would have missed them. Also remember that counting claims is weird, they could literally be making their "profit" off these incorrectly denied claims.
- candiddevmike 3y agoWhat's the difference between adjudicating unnecessary treatments and "death panels", especially for senior care?
- kmeisthax 3y agoThere is no difference. "Death panel" is just a scary sounding term for the institution that adjudicates unnecessary treatments.
- fragmede 3y ago"Death panels" is a memetic phrase used by propagandists to get people worked up against "Obamacare". It's frustrating to see people not be able to see through their schemes.
- EvanAnderson 3y ago"Death panel" is a term contrived by a small number of people, who have enough money that they will never be denied care, to scare people who might have enough political will to make the system based on something other than having money.