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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Some input to the insurance companies bad vs insurance companies good debate: https://www.propublica.org/article/how-often-do-health-insurers-deny-patients-claims In 2010, federal regulators were granted expansive authority through the Affordable Care Act to require that insurers provide information on their denials. This data could have meant a sea change in transparency for consumers. But more than a decade later, the federal government has collected only a fraction of what it’s entitled to. And what information it has released, experts say, is so crude, inconsistent and confusing that it’s essentially meaningless. https://acdis.org/articles/news-aha-report-suggests-ma-denials-increased-557-between-2022-2023 A new report released by the American Hospital Association (AHA) catalogues “staggering” administrative costs imposed on hospital operating margins. The report—“Skyrocketing hospital administrative costs, burdensome commercial insurer policies are impacting patient care”—suggests that “excessive regulatory and insurer requirements” account for “more than 40% of total expenses hospitals incur in delivering care to patients.” The authors of the report highlighted the growing trend in denials over the past few years, observing that care denials occurring[b] between 2022 and 2023 increased a whopping average of 20.2% for commercial claims and 55.7% for Medicare Advantage[/b] claims, respectively. --I assume this is hospital claims so we don't know what is happening in outpatient care Because the govt is not getting this data, there's a lot we don't know. There may have also been some degree of Covid effect (otoh non-emergency surgeries and other care were being delayed during Covid), but a 57% year to year increase for MA denials?? Huge criticism on r/medicine about the Vox article claiming BCBS was not doing what they were actually doing re: anesthesia (even if it's a bit more complicated). It does sound like Vox and BCBS spun much harder than the ASA did. So, is it violence when a corporation's practices lead to otherwise avoidable deaths (whether an insurance company, an international agribusiness, wood products, textile, energy, or mining company)? Was what Purdue did violence? Enron? If "corporations are people" then when they commit violence via the ways they do business rather than 3-d printing a gun and shooting is there the same culpability? UHC stock is coming back up, and in the end the same will happen for other insurers--because they also hold society hostage. In murder prosecutions, that's an aggravating factor. [/quote] This has to be one of the best analyses I’ve ever read on DCUM! Thank you for posting!! <3 [/quote] Don’t get Medicare Advantage! [/quote]
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