100% agree. Insurance companies make money by denying claims. If that isn’t a conflict of interest, I don’t know what is. There is literally a company with financial incentive to deny you the care you need. But specifically with health care, it should be illegal for anyone other than a board certified doctor to deny a claim. People who aren’t doctors have no place deciding whether a physician prescribed therapy is “medically relevant or necessary”.
Big insurance companies have way too much power. They can put immense amounts of pressure on both sides. Hospitals, doctors, and other care providers have to play by the insurance companies’ rules, or they could risk losing their “preferred provider” or in-network status which means they lose a huge number of patients.
Meanwhile, plan participants also have to play by insurance companies’ rules. It isn’t economically feasible to go without health insurance. Hospitals raise prices so that when the insurance company negotiates, the huge cuts they take are less burdensome. But that makes the provider’s listed price for visits and procedures astronomical.
So if you can’t get insurance through an employer, what can you do? What if you’re self employed or an independent contractor? It is often not feasible to buy coverage on your own because it is so expensive. If you do buy solo coverage, your plan is often much worse than a group plan. All more barriers to people getting the care they need.
100% agree. Insurance companies make money by denying claims. If that isn’t a conflict of interest, I don’t know what is. There is literally a company with financial incentive to deny you the care you need. But specifically with health care, it should be illegal for anyone other than a board certified doctor to deny a claim. People who aren’t doctors have no place deciding whether a physician prescribed therapy is “medically relevant or necessary”.
Big insurance companies have way too much power. They can put immense amounts of pressure on both sides. Hospitals, doctors, and other care providers have to play by the insurance companies’ rules, or they could risk losing their “preferred provider” or in-network status which means they lose a huge number of patients.
Meanwhile, plan participants also have to play by insurance companies’ rules. It isn’t economically feasible to go without health insurance. Hospitals raise prices so that when the insurance company negotiates, the huge cuts they take are less burdensome. But that makes the provider’s listed price for visits and procedures astronomical.
So if you can’t get insurance through an employer, what can you do? What if you’re self employed or an independent contractor? It is often not feasible to buy coverage on your own because it is so expensive. If you do buy solo coverage, your plan is often much worse than a group plan. All more barriers to people getting the care they need.
The system is broken.