4.6 • 12 Ratings
🗓️ 8 December 2024
⏱️ 5 minutes
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According to the most recent available data, the insurer refused an estimated one-third of claims submitted, prompting an outpouring of frustration after its CEO Brian Thompson was shot and killed last week.
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0:00.0 | Here's your Forbes Daily Briefing for Sunday, December 8th. |
0:05.0 | Today on Forbes, United Healthcare denies more claims than other insurers, angering patients |
0:11.4 | and health systems. |
0:13.6 | The bullet casings from the ammunition that killed United Healthcare CEO Brian Thompson |
0:18.9 | reportedly had three words written on them, quote, |
0:22.8 | deny, defend, and depose. These words allude to the strategy that some attorneys and critics |
0:29.2 | have used to describe the tactics used by health insurance companies to deny making payment on claims. |
0:35.6 | And the most recent available data suggests that United |
0:39.0 | Healthcare, or UHC, is perhaps the country's worst offender. |
0:44.3 | When it comes to denying claims, multiple reports suggest that UHC, which is the country's |
0:49.1 | largest health insurer and serves some 50 million people, is an industry leader, with a rate nearly double |
0:55.8 | the industry average. A recent Senate report slammed the company for denying nursing care to patients |
1:01.7 | recovering from falls and strokes on its Medicare Advantage plans, and it currently faces a class |
1:07.5 | action lawsuit for its use of AI algorithms to automatically refuse payment. |
1:13.2 | The insurance giants' tactics have frustrated patients and health care providers alike. |
1:18.2 | A major protest at the company's subsidiary Optum's headquarters in Minnesota in July |
1:22.8 | attracted roughly 50 demonstrators, 11 of whom were arrested. |
1:27.9 | Disputes with hospital systems over UHC's claim denials |
1:31.1 | have led to some deciding not to accept its insurance at all. |
1:35.9 | Insurance Insights firm Value Penguin told Forbes that gauging an exact number of claim |
1:40.9 | denials is tricky, as there's no central repository of this data. |
1:45.7 | But according to one of the firm's reports on insurance claim denial rates, |
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