Tilted Forum Project Discussion Community - View Single Post - Health insurance companies, what is the truth.

flstf · 09-10-2009, 07:31 PM

Quote:

Originally Posted by Willravel

More than one of every five requests for medical claims for insured patients, even when recommended by a patient's physician, are rejected by California's largest private insurers, amounting to very real death panels in practice daily in the nation's biggest state, according to data released today by the California Nurses Association/National Nurses Organizing Committee.
I hope I'm not that 1 in 5 the next time I need heart surgery, especially if it's an emergency (which is a real possibility).

Will, I read the Reuters article and the examples they gave seem to be almost criminal in nature. What is really going on here? I wonder what percent of the 31.2 million claims rejected are medically justified. Is it the insurance companies position that doctors ordering these procedures are making wrong diagnosis and/or wrong recommendations for treatment? Surely they are not denying valid claims just to improve the bottom line. Wouldn't lawyers have a field day with these cases?