UnitedHealthcare Has Faced Scrutiny Over Denying Claims

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Posted on 12/06/2024 1:10:53 AM PST by Cronos

The company has been accused of using algorithms to deny treatments and refusing coverage of nursing care to stroke patients.

Those practices may face new scrutiny after law enforcement officials said that the bullet casings found at the site of the killing of the UnitedHealthcare chief executive Brian Thompson on Wednesday appeared to have messages, including the words “deny” and “delay,” written on them. The shooter’s motive and identity still remained unknown on Thursday, and no evidence has emerged that the killer was a UnitedHealthcare customer.

While the words “deny” and “delay” have multiple meanings, they could be a reference to the tactics used by insurers of all kinds to avoid paying claims. The words are so linked to those practices that they were used in the title of a 2010 book probing them, “Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claims and What You Can Do About It.”

“An insurance company’s greatest expense is what it pays out in claims,” wrote the book’s author, Jay Feinman, an emeritus professor at Rutgers. “If it pays out less in claims, it keeps more in profits.”

(Excerpt) Read more at nytimes.com ...

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1 posted on 12/06/2024 1:10:53 AM PST by Cronos

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