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“Not Medically Necessary”: Inside the Company Helping America’s Biggest #Health Insurers Deny Coverage for Care

When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to #EviCore, whose business model depends on turning down payments for #care recommended by #doctors for their #patients.

propublica.org/article/evicore…

#News #Insurance #Algorithm #AI #Healthcare

in reply to ProPublica

Our "Uncovered" series has more on how the #insurance industry denies coverage to #patients.

One of the stories describes how Cigna #doctors reject patients' claims without opening their files. "We literally click and submit," one former company doctor said. 👇

#News #Healthcare #Health

propub.li/4dXhXs3

in reply to ProPublica

👉 Remember: You have a right to find out why your health insurer denied your claim. We built a tool to help you: propub.li/3Uj4ZO8

#Health #Insurance #Healthcare #Journalism #News

This entry was edited (1 month ago)