The Health Insurance Industry’s Unnecessary Expenses

[HuckleB]

http://getbetterhealth.com/the-health-insurance-industrys-unnecessary-expenses/2011.09.06

"I have described how the healthcare insurance industry loads its expenses into direct patient care expenses to increase their profits.

The Medical-Loss Ratio calculation is not reported by the traditional media. The healthcare insurance industry spends less healthcare dollars on direct patient care after it is permitted by federal and local agencies to load its expenses into the direct patient care column.

Simply put, the healthcare insurance industry cooks the books to increase its net profit.

Another way to increase profits is to shortchange physicians on medical claims. In fact, 20% of medical claims payments are inaccurate according to the American Medical Association’s (AMA) fourth annual National Health Insurer Report Card. Claims-processing errors by health insurance companies waste billions of dollars and frustrate patients and physicians.


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This is worth reading, though, yeah, it's more depressing than ...

[msongs]

1. probably most top management is pretty much unnecessary nt

[HuckleB]

3. That's probably just a start.

[Scuba]

2. 20%??? How about 90%, with all errors being in favor of the insurance company....

...their favorite way to screw their customers is to only 80% coverage when 90% is called for (or 70 for 80, etc).


On the provider side, it is more expensive for the doctor's office or hospital to re-bill claims that are short-paid than it is to write the balance off.


Insurance company executives are mass murderers for money.

[Trailrider1951]

4. When did the Mafia take over my country/government????