ProPublicaDec 28, 2024

Our seventh most-read story of this year: 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.

Read more (published Oct.): https://propub.li/3Dtvr24

#News #Journalism #Health #Insurance #Healthcare

“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.

ProPublica
Show threadColin from Edinburgh.

@ProPublica

If your claim is *not* rejected:

USA:

Lowest rating for Positive Healthcare Outcomes in the developed world.
It has never been in the top ten.
It has the highest infant mortality.
It has the lowest and still declining life expectancy; rated 47th in the world.
Medical debt and medical bankruptcy simply do not exist in other developed nations.
In the US, medical debt accounted for 65% of all personal bankruptcies in 2023.

Dec 29, 2024 at 2:33amMastodon for Android