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That by itself doesn't mean anything. Their profit margins are higher than average but not exceptional. https://www.financecharts.com/compare/UNH,CI,ELV,CVS,M

by tomp 2y ago

That by itself doesn't mean anything. Their profit margins are higher than average but not exceptional. https://www.financecharts.com/compare/UNH,CI,ELV,CVS,MOH/summary/profit-margin https://www.financecharts.com/compare/UNH,CI,ELV,CVS,MOH/sum... But even that doesn't mean anything. I worked for a company that used ML to fight health insurance fraud ("mistakes") in the German market - where doctors/administrators would require payment for extra procedures that they never actually performed. So "denial rate" or even "profit margin" would go up with better AI that discovers more fraud! Maybe a good metric would be something like "expected lifespan"? But even that can be misleading (e.g. maybe different insurers serve different populations...)

wholinator2 2y ago
How can you say that doesn't mean anything? It means that if you have united, your twice as likely to be denied necessary, prescribed care! That's what it literally means. I don't care if occasional doctor over prescribe a thing and make extra money, does that happen in 1/3rd of all prescriptions given by all doctors in the network? This man's company was increasing profits by denying necessary care to people, including dying people who would have been saved. He made the decision to keep the company doing that and his purview built the system that automated denials so they could deny even more, all without letting an actual fucking doctor see any of it. That's monstrous! That's disgusting! He's literally killing people with his policies, while taking home the highest salary in the business! How much human suffering, how many hours of terror and pain, how many dead bodies did that man let happen, did he _make_ happen, all so he could take home millions and millions of dollars. I'd bet he never had to fight for a prescription, he never got taken off a necessary medication, he never spent months of his life fighting on the phone to save his mother's life, or to get the necessary medication so that she could at least die in peace. I have. We have. So many more people than apparently you think. He deserved a lot worse that a gunshot. When the systems are so kafkaesque, so labyrinthine, the processes are intentionally gordian knots of unknown requirements, silently attacking your very need to survive as a human being. When the systems can't be fixed by the people most drastically effected, what recourse do we have? Nothing. So I'll cheer his death, at least someone did something for once.
seanicus 2y ago
An insurance adjuster defending insurance companies. Sounds good to me!

by tomp 2y ago

wholinator2 2y ago

How can you say that doesn't mean anything? It means that if you have united, your twice as likely to be denied necessary, prescribed care! That's what it literally means. I don't care if occasional doctor over prescribe a thing and make extra money, does that happen in 1/3rd of all prescriptions given by all doctors in the network? This man's company was increasing profits by denying necessary care to people, including dying people who would have been saved. He made the decision to keep the company doing that and his purview built the system that automated denials so they could deny even more, all without letting an actual fucking doctor see any of it. That's monstrous! That's disgusting! He's literally killing people with his policies, while taking home the highest salary in the business! How much human suffering, how many hours of terror and pain, how many dead bodies did that man let happen, did he _make_ happen, all so he could take home millions and millions of dollars. I'd bet he never had to fight for a prescription, he never got taken off a necessary medication, he never spent months of his life fighting on the phone to save his mother's life, or to get the necessary medication so that she could at least die in peace. I have. We have. So many more people than apparently you think. He deserved a lot worse that a gunshot. When the systems are so kafkaesque, so labyrinthine, the processes are intentionally gordian knots of unknown requirements, silently attacking your very need to survive as a human being. When the systems can't be fixed by the people most drastically effected, what recourse do we have? Nothing. So I'll cheer his death, at least someone did something for once.

seanicus 2y ago

An insurance adjuster defending insurance companies. Sounds good to me!