Why Are Carriers Dragging Claims These Days?

Side note to the Kaiser article below brings two observations:

1. The effects of runaway third party interference:

Greater hurdles to accessing care, clinicians burning out on unnecessary administrative tasks, payment delays, claim denials, new layers of document requirements, prior-authorization hurdles for routine procedures, requirements that doctors themselves — not support staffers — speak directly to insurance gatekeepers, and more…….All of this drives up healthcare costs by 40%.

The effects of Cash Pay Centric Heath Plans:

None of the above – costs reduced 40%

2. Increasing financial reserves amid the health crisis by dragging claims.

“Dragging claims” means not paying on a timely basis. Makes books look much better than what the financial reality really is, shoring up stock prices and keeping shareholders happy.

https://khn.org/news/article/anthem-united-major-insurers-behind-on-payments-billions-owed-hospitals-doctors-covid/

OTHER BLOG ENTRIES OF INTEREST:

American Health Care System Drives Man To Drink

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CPO Centric Health Plan

A CPO (Cash Pay Option) centric health plan removes all financial barriers to health care while saving money at the same time. Cash beats insurance everytime. ….Read the rest of this entry »

RiskManagers.us is a specialty company in the benefits market that, while not an insurance company, works directly with health entities, medical providers, and businesses to identify and develop cost effective benefits packages, emphasizing transparency and fairness in direct reimbursement compensation methods.

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