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Partly due to the strain on local council budgets & partly due to continuing problems in the provision of children's social care in England, the Govt. is today announcing a move to require firms to share their detailed finances with Govt. to start to work towards reducing 'excessive profits' in the sector.
Of course, Wales has already moved to shift provision to not-for-profit providers for the same reasons, so England currently looks behind the curve on this.
h/t FT
“Not Medically Necessary”: Inside the Company Helping America’s Biggest #Health Insurers Deny Coverage for Care
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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
EviCore, the Company Helping U.S. Health Insurers Deny Coverage for Treatments
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