How Often Do Health Insurers Say No to Patients? No One Knows
4 days ago
- #transparency
- #healthcare
- #insurance
- Consumers lack access to insurers' denial rates, making it difficult to compare health plans.
- Federal and state regulators have the power to increase transparency but have not acted effectively.
- Insurers argue that transparency could mislead consumers and impose burdens on companies.
- Limited data suggests insurers deny 10-20% of claims, but specifics vary widely.
- Advocates claim insurers avoid transparency to maintain profits from denied claims.
- California and Vermont are exceptions, providing some public data on denials.
- Efforts to mandate more disclosure have faced resistance from industry and unions.
- Experts call for standardized, audited data to empower consumers and improve accountability.