3 ms·
> Part of the job of a health insurer is to deny unnecessary claims, to be a check on providers, both in procedures and their pricing. How can this occur with
by franktankbank 2y ago
> Part of the job of a health insurer is to deny unnecessary claims, to be a check on providers, both in procedures and their pricing.
How can this occur with the given incentives? You have parent corp UHG who owns the whole vertical and you've got dumb fucking congress (deduced from Hanlon's razor) saying only a single part of that vertical is capped.
- JumpCrisscross 2y ago> You have parent corp UHG who owns the whole vertical The group’s gross profits are in line with the legal 80/20 rule. And more-integrated models (Kaiser) exist with better satisfaction ratings.
- lotsofpulp 2y agoEven Kaiser is bumping up against resource constraints (at least in Washington). I know quite a few Kaiser employed doctors and insureds, and they all report declining quality. Edit: I scrolled down and saw someone else say the same: https://news.ycombinator.com/item?id=43016691 https://news.ycombinator.com/item?id=43016691