Big companies rake in profits while doctors are saddled with yet another cost in a burdensome health care system.
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The Big Story
Mon. Aug 14, 2023
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The Hidden Fee Costing Doctors Millions Every Year <[link removed]> A powerful lobbyist convinced a federal agency that doctors can be forced to pay fees on money that health insurers owe them. Big companies rake in profits while doctors are saddled with yet another cost in a burdensome health care system. by Cezary Podkul
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How the Insurance Industry Denies Coverage to Patients
How Often Do Health Insurers Say No to Patients? No One Knows. <[link removed]> Insurers’ denial rates — a critical measure of how reliably they pay for customers’ care — remain mostly secret to the public. Federal and state regulators have done little to change that. by Robin Fields <[link removed]>
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them <[link removed]> Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said. by Patrick Rucker, Maya Miller and David Armstrong <[link removed]>
UnitedHealthcare Tried to Deny Coverage to a Chronically Ill Patient. He Fought Back, Exposing the Insurer’s Inner Workings. <[link removed]> After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims. by David Armstrong, Patrick Rucker and Maya Miller <[link removed]>
Health Insurance Claim Denied? See What Insurers Said Behind the Scenes <[link removed]> Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your case. by Maya Miller, with additional reporting by Patrick Rucker and David Armstrong <[link removed]>
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