I am skeptical that unh is denying more than other insurers. Since half their business is physician practices, they actually make more money treating the patients. Also they have more physicians on staff making decisions than competition, and I would rather doctors are more involved in those decisions than mba’s. in fact they are probably too effective, and the competition is running scared looking for antitrust protection.
> The company dismissed about one in every three claims in 2023 — the most of any major insurer. That’s twice the industry average of 16 percent, according to data from ValuePenguin, a consumer research site owned by LendingTree that specializes in insurance. The group’s analysis is based on in-network claims data from the Centers for Medicare & Medicaid Services.
Check out the discovery on this barely-related lawsuit that revealed that they had specifically adopted a policy of denying covered treatment to addicts because they determined that that group was particularly unlikely to follow through with an appeal.
The article is biased, as you should also be in the face of evil, but you can follow the links through and eventually get to the materials as presented in court if you're motivated.
