Catherine Collingwood EstesJan 29, 2025
The highest rate of #ClaimsDenials on #ACA Federal #Exchange plans doesn't happen with #UnitedHealthcare. It happens with #BCBSAL, which has 80%+ market capture in that state. This is why #HealthInsurance #monopolies are a bad idea. https://buff.ly/3EfNgSF
Claims Denials and Appeals in ACA Marketplace Plans in 2023 | KFF

This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for denials is limited, and few consumers appeal claims denials.

KFF
Liam O'Mara IV, PhDDec 10, 2024
Between 100,000 and 200,000 Americans die each year from #PreventableIllnesses due to lack of #HealthCare coverage or to #ClaimsDenials or too-high #copays, and almost half of working-age Americans have #MedicalDebt. This is a corporate democide that cries out for justice. #M4A
BryanmarcusJun 24, 2024
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Healthcare Denial Management - Medical billing Services| MGSI

MGSI offers healthcare denial management services to reduce their client's denials and increase cash flow. MGSI offering denial management service for more than 2 decades.