Doctors Seethe Over Insurance Companies’ “Out of Control” Tactics

While no one can seriously justify the decision to gun down a father of two to make a political point, Americans seem to agree on one thing: Something does need to be done about the country’s broken health insurance system. The brutal slaying, and the frenzied manhunt that followed, have exposed widespread frustration with a system of for-profit health insurance that many Americans feel is actually killing them, one delayed-or-denied health insurance claim at a time.

However, he says of coverage decisions, “Less than 1% of claims are denied for clinical reasons. There is a very big difference between a claim denial and a care denial. One is denying care and one is denying a claim. I don’t want anyone to think we don’t provide care, because that’s different.” Doctors in independent practice groups describe strong-arm tactics by the company—suddenly pushing them out of network, slashing their reimbursements, and stranding their patients with almost no notice.

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