this post was submitted on 13 Dec 2024
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[–] [email protected] 37 points 3 days ago (1 children)

Witty said that while UHC is willing to "partner with anyone" who could help the system work better, "clearly, we are not there yet."

"We understand and share the desire to build a health care system that works better for everyone. That is the purpose of our organization," he wrote.

I would love for him to explain to me why they NEED to deny 1/3 of their claims to keep their business afloat and how they are using their $23.1 billion profit to benefit the policy holders rather than the share holders. That would be a real article, a real plea to the populace. This is just an article full of empty words that mean nothing, but it does show us how scared you execs are, which is nice.

Oh, and I liked this part (emphasis mine):

Witty added that Thompson was "never content with the status quo" and praised the CEO for advocating for ideas that "were aimed at making health care more affordable, more transparent, more intuitive, more compassionate — and more human."

Yea, like the Ai denial system? I bet that really gave it the human touch. I mean, I really can’t believe he said that part.

[–] [email protected] 6 points 3 days ago* (last edited 3 days ago) (1 children)

I would love for him to explain to me why they NEED to deny 1/3 of their claims to keep their business afloat and how they are using their $23.1 billion profit to benefit the policy holders rather than the share holders.

Short answer about benefitting policy holders vs share holders is they’re not. They won’t.

The other part of this is why they deny claims? Short answer is the loss ratio (diving claims paid plus adjustment expenses by the total amount of premiums earned) that they report on during earnings calls.

It’s apparently one of the most important things to pay attention to. The lower that number, the better! Higher means it freaks wall street out and stocks lose money.

Learned about the loss ratio from Vox’s Today Explained podcast.

[–] [email protected] 4 points 3 days ago

Short answer about benefitting policy holders vs share holders is they’re not. They won’t.

Yeah, I said that knowing this was true, and I guess props on them for not lying their way out of that part… 🙄

The second half of what you said is why these companies, that literally have peoples health and wellbeing in their hands, should NOT be for-profit companies. They are actually profiting, and celebrating their record profits, off of hurting people. It’s insane.

Thanks for the podcast share, I’ll check it out.