
Insurance and Health Care Reform Support Group
This community deals with health insurance issues and major health care policy creation or changes (for the most part, governmental policy). Communicate your ideas, problems, solutions, and experiences here.

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The Health Care Racket_Paul Krugman
Friday, 16 February 2007
"its an arms race between insurers, who deploy software and manpower trying to find claims they can reject, and doctors and hospitals, who deploy their own forces in an effort to outsmart or challenge the insurers.
For those who want to understand why US taxpayers are being ripped off by paying the highest premium for a dysfunctional health care system New York Times columnist Paul Krugman lays out the simple facts.
"its an arms race between insurers, who deploy software and manpower trying to find claims they can reject, and doctors and hospitals, who deploy their own forces in an effort to outsmart or challenge the insurers. And the cost of this arms race ends up being borne by the public, in the form of higher health care prices and higher insurance premiums."
"Like denial management, however, marketing and underwriting cost a lot of money. McKinsey & Company, the consulting firm, recently released an important report dissecting the reasons America spends so much more on health care than other wealthy nations. One major factor is that we spend $98 billion a year in excess administrative costs, with more than half of the total accounted for by marketing and underwriting costs that dont exist in single-payer systems."
http://www.ahrp.org/cms/content/view/491/29/
Friday, 16 February 2007
"its an arms race between insurers, who deploy software and manpower trying to find claims they can reject, and doctors and hospitals, who deploy their own forces in an effort to outsmart or challenge the insurers.
For those who want to understand why US taxpayers are being ripped off by paying the highest premium for a dysfunctional health care system New York Times columnist Paul Krugman lays out the simple facts.
"its an arms race between insurers, who deploy software and manpower trying to find claims they can reject, and doctors and hospitals, who deploy their own forces in an effort to outsmart or challenge the insurers. And the cost of this arms race ends up being borne by the public, in the form of higher health care prices and higher insurance premiums."
"Like denial management, however, marketing and underwriting cost a lot of money. McKinsey & Company, the consulting firm, recently released an important report dissecting the reasons America spends so much more on health care than other wealthy nations. One major factor is that we spend $98 billion a year in excess administrative costs, with more than half of the total accounted for by marketing and underwriting costs that dont exist in single-payer systems."
http://www.ahrp.org/cms/content/view/491/29/
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