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No, it's not 9.7% more claims, it's spending 9.7% more on claims. And that means very little without an understanding of the total cost of claims denied. How m
by IncreasePosts 2y ago
No, it's not 9.7% more claims, it's spending 9.7% more on claims.
And that means very little without an understanding of the total cost of claims denied. How many claims would still be denied?
Do denied claims even follow the same cost distribution of allowed claims? Maybe I'm wrong, but I imagine very expensive claims are denied more commonly than very inexpensive claims.
I think it's pretty clear that even if that extra 9.7% was paid out, there would still be a huge list of denied claims, and the psychos that celebrate Mangione would still be calling for murdering people in the healthcare industry, if they're basing their calls for murder on the fact that claims get denied commonly.
The US healthcare system is fundamentally broken by absurd costs all around. It is not really broken because a tiny fraction of workers make large bonuses. That doesn't help, but it is not the root of the issue in the slightest.