[HN Gopher] Deny and delay: The practices fueling anger at U.S. ...
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       Deny and delay: The practices fueling anger at U.S. health insurers
        
       Author : pseudolus
       Score  : 39 points
       Date   : 2024-12-16 18:45 UTC (4 hours ago)
        
 (HTM) web link (www.washingtonpost.com)
 (TXT) w3m dump (www.washingtonpost.com)
        
       | pseudolus wrote:
       | http://archive.today/tGL72
        
       | c22 wrote:
       | I recently had a procedure denied (after the fact) because the
       | price charged was apparently "excessively above the average"
       | price for that procedure, leaving me on the hook for the full
       | amount. It felt like the opposite of being _insured_.
       | 
       | I also couldn't wrap my head around why they didn't just pay
       | whatever they thought it was worth and let me cover the rest.
        
         | xena wrote:
         | Doing that would make sense, and we can't have that now, can
         | we?
        
         | cogman10 wrote:
         | > I also couldn't wrap my head around why they didn't just pay
         | whatever they thought it was worth and let me cover the rest.
         | 
         | Because insurance would then just lowball the cost of
         | everything.
         | 
         | Insurance needs to either do what they say they do, cover x% of
         | procedure cost with a maximum yearly deductible or we need to
         | be talking about why we have insurance in the first place.
         | 
         | We need new regulations around health and insurance. Ideally,
         | public insurance.
        
           | evoke4908 wrote:
           | > Because insurance would then just lowball the cost of
           | everything.
           | 
           | They _do_. Many, many billable items are priced to the limit
           | that insurance will pay. Insurance and providers have
           | agreements on the prices they can charge for certain
           | procedures or supplies.
           | 
           | It _used_ to be the norm that insurance would pay their
           | maximum and leave the rest to you. Sometimes the provider
           | would waive the difference, sometimes it was billed to you.
           | 
           | The cost of healthcare is 100% an artefact of insurance price
           | fixing and absolutely nothing else.
        
         | bfrog wrote:
         | Insurance is a terrible name for what we have, its not
         | insurance, its blackmail.
         | 
         | You dying and zero being paid out by the insurance company is
         | the best profit margin they can ask for, that's the entire
         | _goal_ of an insurance company at this point.
        
           | s1artibartfast wrote:
           | If there are no payouts, then they have to return all
           | premiums. They only get paid a percentage of covered care.
           | 
           | This presents it's own set of tradeoffs, namely between
           | decreasing premiums to attract subscribers, and what is
           | covered, to keep subscribers happy.
        
         | lovich wrote:
         | > I also couldn't wrap my head around why they didn't just pay
         | whatever they thought it was worth and let me cover the rest.
         | 
         | Because nothing is forcing them to do so. If you don't like it,
         | what are you going to do about it? Shoot their CEO or
         | something? They have all the leverage.
        
           | vjulian wrote:
           | I resent that the Pentagon decides who the bad guys are and
           | that the population large accepts what it's told.
        
             | lovich wrote:
             | Was this a non sequitor? Not entirely sure how it's related
             | to my comment
        
       | ChrisArchitect wrote:
       | Related:
       | 
       |  _Feds help health insurers hide their dirty secret: denials on
       | the rise_
       | 
       | https://news.ycombinator.com/item?id=42408925
        
       | ChrisArchitect wrote:
       | Related:
       | 
       |  _Doctors Say Dealing with Health Insurers Is Only Getting Worse_
       | 
       | https://news.ycombinator.com/item?id=42398069
        
       | kelseyfrog wrote:
       | Calling IncreasePosts to determine whether or not this is just an
       | Internet bubble.
        
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       (page generated 2024-12-16 23:01 UTC)