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/

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CPO Centric Health Plan

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