Following the shooting of United Healthcare CEO Brian Thompson, multiple major health insurance companies have taken their executive leadership pages offline.
UHC, Anthem Blue Cross Blue Shield, Caresource and more are removing or redirecting their about us pages.
Can someone with more knowledge of the industry explain why hits even legal that an insurance company gets to decide whether it pays claims or not? Shouldn’t a third independent party decide?
Insurance IS the third party. From an idealist perspective, insurance is supposed to be negotiating rates with doctors (independent contractors) to try to set a baseline for services and negotiate on your behalf to make sure a doctor isn’t charging 10k to apply a bandage.
Eventually insurance companies found out they were holding both the patient approval and writing the policy and started lobbying until they became monster they are today. Now both patients and doctors hate they have embedded themselves in the process siphoning money.
Can someone with more knowledge of the industry explain why hits even legal that an insurance company gets to decide whether it pays claims or not? Shouldn’t a third independent party decide?
Insurance IS the third party. From an idealist perspective, insurance is supposed to be negotiating rates with doctors (independent contractors) to try to set a baseline for services and negotiate on your behalf to make sure a doctor isn’t charging 10k to apply a bandage.
Eventually insurance companies found out they were holding both the patient approval and writing the policy and started lobbying until they became monster they are today. Now both patients and doctors hate they have embedded themselves in the process siphoning money.
That would cut into profits.