Health insurers like UnitedHealthcare do the bidding of employers or the governments that hire them to administer premiums paid by taxpayers, workers and employers.
Minnetonka, Minnesota. United Healthcare CEO Brian Thompson was shot dead on the street in New York City before he was to attend the company's annual investors meeting. chief executive officer Brian Thompson have swept health insurance companies up in a national imbroglio over how they deny medical care and slow walk approvals of treatments.
What is covered and how much someone pays out of their paycheck or out-of-pocket is calculated by the insurance company working with the employer client. These coverage decisions are never made by the insurance company alone. Or in the case of Medicaid coverage for the poor, what is covered is decided by the state and its lawmakers and possibly governor who hold sway over what each state Medicaid program covers. Almost all states in the U.S.
Despite insurance industry rules that include requirements that patients get prior authorization before medical care can be given or paid for, Medicare Advantage is now more popular than fee-for-service Medicare run by the government. Rules endorsed by Republican and Democratic members of Congress and presidential administrations from George W. Bush and Barack Obama to Donald Trump and Joe Biden have supported the march toward Medicare Advantage even as it has become more scrutinized in recent years.citing data from KFF. “That’s up from the less than 6% of requests denied in each of the years from 2019–2021.”
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