After the incident with the Mayor of NYC, the question needs to be asked.
Steve
1 Like
Health insurers denied 850 million pre-authorizations for health care requested by doctors while at the same time billing Medicare for $50 billion worth of diseases that no doctor had diagnosed or treated. Seems like there is a ton of fraud going on.
https://www.wsj.com/health/healthcare/health-insurance-denials-fight-back-70a1328e
https://www.wsj.com/health/healthcare/medicare-health-insurance-diagnosis-payments-b4d99a5d
intercst
5 Likes
Prosecutors sound like they were pretty sure about the Mayor too. But all charges dropped, as long as he “plays ball”.
Steve
3 Likes
How many $Trump coins would it take to make the problem go away?
There is a lot of fraud going on. Look at all the doctors hired by UHC and others to dismiss requests without reading them. Watch how fast they react when those same doctors want to have their own X-rays (and so on) read and they are summarily told the X-rays (etc) will not be read or evaluated.
Even if UHC is an order of magnitude scummier than the other insurance companies, which I doubt, they have a unique out: the CEO who set the policies was murdered. The lower management, and the Board, can plead “we knew it was wrong, but we couldn’t do anything about it”, a reverse of Jamie Dimon’s “rogue underling” excuse. So the company gets a fine that is only a small fraction of the loot that it’s business practices yield, just like JPM, and goes on it’s merry way.
Steve
2 Likes