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

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Health Insurance Notícia

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Nothing can justify the killing of UnitedHealthcare CEO Brian Thompson, but providers agree that America’s insurance system is off the rails. “I am kind of surprised this hasn’t happened earlier,” says one health care consultant.

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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