The Bomb Buried In Obamacare Explodes Today-Hallelujah!

[Bob Wallace]

93. Again...

Excluding anti-fraud efforts:

"Insurers wanted fraud control programs to be counted
as quality improvement measures. They also
wanted other activities, such as “utilization
review” (in which a company decides whether
or not to cover a particular medical treatment),
to be considered medical expenses. The
NAIC decided against both."

Your claim was that insurance companies were hiring armies of investigators whose job would be to deny claims and that the cost for those investigators would come from the 80% treatment segment of premiums.

There is no, zero, nada profit to be made by insurance companies by denying claims. They cannot move that money into their pockets.

If they refuse a lot of claims then that will lower their ratings and people will move to another company.