“Not Medically Necessary”: Inside the Company Helping America’s Biggest #Health
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“Not Medically Necessary”: Inside the Company Helping America’s Biggest #Health Insurers Deny Coverage for Care
—When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to #EviCore, whose business model depends on turning down payments for #care recommended by #doctors for their #patients.
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Our "Uncovered" series has more on how the #insurance industry denies coverage to #patients.
One of the stories describes how Cigna #doctors reject patients' claims without opening their files. "We literally click and submit," one former company doctor said.
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ProPublicareplied to ProPublica last edited by [email protected]
Remember: You have a right to find out why your health insurer denied your claim. We built a tool to help you: https://propub.li/3Uj4ZO8 -
@ProPublica Sad but not really a surprise. In fact, this is what they’re supposed to do. You have to squeeze as much profits for your shareholders (these are the true beneficiaries—patients and health workers be damned) as possible. These are profit making enterprises. They are not there to help you. If they do, it’s incidental.
