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A comment on Feds help health insurers hide their dirty secret: denials on the rise. Parent comment

Re:Feds help health insurers hide their dirty secret: denial... by refurb on Friday December 13, 2024 @10:05PM (#42414339)
> With private insurers in the US, it means denying care for person A because they think they can get away with it and it will increase their profits.

The person at the insurer who denies a claim is not making more money because they denied it. The company as a whole might, but not the person denying it.

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Re:Feds help health insurers hide their dirty secret: denial... by wat10000 on Friday December 13, 2024 @11:08PM (#42414609)
Right, the ones who profit are just setting up the rules, policies, and incentive structures that those people work under.
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Re:Feds help health insurers hide their dirty secret: denial... by refurb on Saturday December 14, 2024 @01:37AM (#42415127)
This is a really simplistic approach and you're never going to fix it.

There are numerous stakeholders who setup the rules - the government, insurance companies, hospitals, doctors, billers, etc.

All of them profit from the current system, but there is no single stakeholder who decides the overall rules.

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Re:Feds help health insurers hide their dirty secret: denial... by wat10000 on Saturday December 14, 2024 @10:04AM (#42417543)
My only point is that there are people with a lot of power to decide who gets what treatments who profit from denying treatment. That’s 100% true.

Fixing it is another matter. Of course that’s not easy.

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