>They don't have to believe the insured, they can believe the doctors, plural. Also, their "errors", even when innocent, are on you to solve.
You misinterpreted what I wrote. I was referring to people who believe they were wronged, but do not have the knowledge to understand they were not wronged, due to healthcare being extremely complicated.
I understand your frustrations, and there certainly are errors that managed care organizations should not be making, but the financial figures indicate the root of the problem is insufficient supply of healthcare.
>For-profit claim denials should be abolished unless there's a public backstop.
There is little to no profit in managed care. There are 7 publicly listed managed care organizations (UNH, Elevance, Cigna, CVS, Humana, Centene, and Molina). There are myriad non profit managed care organizations (Kaiser Permanente, Cambia, HCSC and other various Blue Cross Blue Shield).
All of their financials are open, so go read their 10-K and 990 and see for yourself that almost all the revenue goes out the door as healthcare expenses. It has nothing to do with profit or non profit.
The root problem of insufficient supply of healthcare is not in the wheelhouse of managed care organizations to supply, no matter how many executives are assassinated.
You misinterpreted what I wrote. I was referring to people who believe they were wronged, but do not have the knowledge to understand they were not wronged, due to healthcare being extremely complicated.
I understand your frustrations, and there certainly are errors that managed care organizations should not be making, but the financial figures indicate the root of the problem is insufficient supply of healthcare.
In this comment, you write:
https://news.ycombinator.com/item?id=49211264
>For-profit claim denials should be abolished unless there's a public backstop.
There is little to no profit in managed care. There are 7 publicly listed managed care organizations (UNH, Elevance, Cigna, CVS, Humana, Centene, and Molina). There are myriad non profit managed care organizations (Kaiser Permanente, Cambia, HCSC and other various Blue Cross Blue Shield).
All of their financials are open, so go read their 10-K and 990 and see for yourself that almost all the revenue goes out the door as healthcare expenses. It has nothing to do with profit or non profit.
The root problem of insufficient supply of healthcare is not in the wheelhouse of managed care organizations to supply, no matter how many executives are assassinated.