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Silent Type

(12,412 posts)
9. Fine. Take an insurer like UHC with 25 M covered people. Pay the execs nothing and you'd
Fri Dec 6, 2024, 08:12 PM
Dec 2024

have $2 or $3 maybe $5 more dollars for each person annually. I’d rather have them cutting better deals with hospitals, doctors, monitoring quality, etc.

Until the government gets off its ass and enacts a rational healthcare system, we are stuck with what we have.

I’ve worked/consulted with Medicaid, Medicare, providers, even recommended Georgia go to Medicare/caid for all in 1982. Had to run for my life after the Committee as they called me a socialist.

I worked against insurance companies trying to screw providers too, and handled numerous appeals for denials. If you’ve got the standards of care on your side, it’s relatively easy overturning denials with a little additional info not on a claim form. Now, if it’s a patient/doctor who wants to get facial Botox injections covered under the guise of treating headaches, that’s a bit tougher and not my thing.

With your background, I’m sure you know doctors and other providers do cheat billing, some a lot, some staying under the radar.

Recommendations

1 members have recommended this reply (displayed in chronological order):

DuRec leftstreet Dec 2024 #1
My same insurance double from 2024 to 2025. Deductible increased 30%. LizBeth Dec 2024 #2
Wow that's a lot! flying_wahini Dec 2024 #18
Assuming info correct, the profit margin of roughly 3% is low compared to banks, dining, drugs, education, Silent Type Dec 2024 #3
There are ways to game it. Xolodno Dec 2024 #4
3.3% seems to be norm for industry. Jets, etc., get expensed out over years. If they paid their Execs a Billion Silent Type Dec 2024 #7
You missed my point. Xolodno Dec 2024 #8
Fine. Take an insurer like UHC with 25 M covered people. Pay the execs nothing and you'd Silent Type Dec 2024 #9
If you want better care, standards, etc. The money has to come from somewhere. Xolodno Dec 2024 #10
$100 B in improper billing a year for Medicare and Medicaid according to HHS/CMA. Silent Type Dec 2024 #12
Go on.... Xolodno Dec 2024 #13
Like your company never underpaid on a claim or had a contractor cheat you. Besides, I thought you were done. Silent Type Dec 2024 #14
This message was self-deleted by its author Silent Type Dec 2024 #15
BTW, what was your company's profit margin? Probably more than health insurance. Silent Type Dec 2024 #16
Looks like Obamacare has worked out ok for them. jalan48 Dec 2024 #5
My insurance went up 10 dollars RANDYWILDMAN Dec 2024 #6
WHAT THE ABSOLUTE FUCK!!!!!!!!! a kennedy Dec 2024 #11
And United... Ollie Garkie Dec 2024 #17
If you pay them and they deny, defend and depose I'm quite sure it helps their bottom line Always Blue Dec 2024 #19
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