this post was submitted on 05 Dec 2024
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I'm curious about the industry average. It seems that the majority of the larger providers deny far more than the industry average. The numbers don't seem to work unless the bulk of the industry is smaller providers that are not showing on this graph. I may be wildly misinterpreting this. Anyone have any insight here?
Each company doesn't necessarily have an equal portion of the market. The three companies below the average (and any others not shown like you noted) may have a larger portion of the market.
I was looking at this: https://content.naic.org/sites/default/files/publication-msr-hb-accident-health.pdf
And the three companies (kaiser, oscar, ambetter) with lower denial rates than the national average combined have less of a marketshare than United Health. But there are a ton of smaller players in the market. I guess the lesson is the big players pretty much all suck.