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re: How Corrupt Is Our Healthcare System?

Posted on 6/23/19 at 9:13 am to
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 6/23/19 at 9:13 am to
quote:

But how common do you think it is for companies to charge insurance companies for things that are not needed or for items much more expensive than what was actually used? 




It doesn't matter. Let me tell you how this works.


You get a broken leg. You go to the hospital. The doctor takes x-rays, gives you pain meds, puts on a cast, tells you to follow up with Ortho in a couple weeks. You pay your $150 copay and leave.

The hospital sends a bill to your insurance provider for a broken leg. The insurance provider says "nah, this is what we think it should cost to fix a broken leg. Here's that money instead."

And then you only get that money if you're on the insurance companies "good list". If you're on their "shite list", you get some predetermined amount less- and that is where the corruption is. The insurance provider can essentially blackmail the hospital by threatening to put them on the shite list, and this is completely legal
Posted by bamagreycoat
Member since Oct 2012
5749 posts
Posted on 6/23/19 at 9:17 am to
Thank you Tiguar for that information. I had no idea insurance companies can pay what they want rather that what they are billed and I had no idea there is a “shite list” that existed.
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