An initiative designed to expose how payors have put their corporate wealth over the nation’s health—at the expense of patients and providers alike.
Joined November 2020
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What can hospitals like @DignityHealth do when insurers refuse to play fair? @BCBSAZ has split with the health system’s Arizona locations. Here’s why: uncovered.health/evidence/an…
State health plans are a big deal. But is @BCBSNC’s lawsuit over losing the state health plan in the best interest of North Carolinians? We don’t think so: uncovered.health/evidence/pr…
In a system set up to benefit payors, an increasing number of providers are baffled that health insurers aren’t paying under the #NoSurprisesAct. Learn more: uncovered.health/evidence/no…
‘I came, I saw, I conquered.’ At least, that’s what we imagine @BlueCrossNC said after it acquired all of North Carolina’s @FastMedClinics locations. The state’s largest health insurer has big plans for growth, but what’s the impact on patients? Read more: uncovered.health/evidence/he…
A new investigation found that at least a dozen doctors were hired by insurance companies after being disciplined by state medical boards or making malpractice payments. Now, they decide whether your healthcare services are “medically necessary.” uncovered.health/evidence/so…
Oops, they did it again. @Humana is the latest insurer to face a lawsuit over its use of AI in claims processing. Here’s what happened: uncovered.health/evidence/ye…
The deal is back from the dead! @ElevanceHealth 's $2.5 billion acquisition of @BCBSLA would require the latter to become a for-profit insurer. Here’s why regulators—and consumers—should still be worried: uncovered.health/evidence/an…
Health insurance companies continue to use claim denials to preserve profits as they avoid paying for care. And despite state regulations, insurers’ actions seem to communicate that “We don’t care.” Read more: uncovered.health/evidence/we…
It’s the battle of the PBMs: David and Goliath edition. Some smaller companies are trying to get in on the action of the PBM market. Will they provide the PBM reform that they promise? Call us skeptical: uncovered.health/evidence/it…
Because of increased government scrutiny, some #healthinsurers just might feel the need to do some #priorauthorization cleanup before they’re hit with more regulations or fines. Here’s why providers are skeptical: uncovered.health/evidence/pr…
According to new data, the more health challenges you experience, the more likely it is that you’ll face claim denials. Wondering how that helps patients get better? We are, too. uncovered.health/evidence/th…
Is paying private companies to manage #Medicare plans worth it anymore? Insurance companies keep finding ways to squeeze more dollars out of the program, but it’s not necessarily benefiting patients. Read more: uncovered.health/evidence/in…
It’s that time of year again — #insurers are releasing their 2024 premium rates. And you can count on insurers deflecting blowback from their rate hikes by blaming anyone but themselves. Exhibit A — North Carolina: uncovered.health/evidence/de…
Claim denials have morphed into a profit-saving methodology benefiting big insurance companies and harming patients. Here’s how many insurers denied claims in 2021: uncovered.health/evidence/ex…
Whether it’s electronic payment processing fees or pharmaceutical negotiations, find out how payor lobbyists find creative ways to skim dollars off the top for insurance companies, while making patient care harder for providers: uncovered.health/evidence/do…
Will speaking out online against your health insurance company make a difference in getting your claims paid? It did for Sally Nix. Here’s why people like Nix are increasingly turning to the internet to get justice from their health insurer: uncovered.health/evidence/do…
The data released by the @ahahospitals speaks to an overarching pattern in the American healthcare system: commercial health insurers getting in the way of critical medical care, jeopardizing patient health and frustrating providers in the process: uncovered.health/evidence/an…
Physician groups are lobbying. Patients are protesting. Lawmakers are proposing legislation to Congress. Here’s why #priorauthorizations are a bureaucratic bad idea: uncovered.health/evidence/pr…
@UnitedHealthcare’s new policy hopes to reduce unnecessary colonoscopies. But in our minds, the bigger risk isn’t unneeded screenings, but undetected cancer. Here’s why you should be concerned: uncovered.health/evidence/un…
According to a report from @ahahospitals , one of the main reasons for the sudden rise in hospital expenses is the high burden of administrative costs from billing and insurance. Get the scoop: uncovered.health/evidence/ho…