this post was submitted on 13 Dec 2024
389 points (97.1% liked)

News

35867 readers
1951 users here now

Welcome to the News community!

Rules:

1. Be civil


Attack the argument, not the person. No racism/sexism/bigotry. Good faith argumentation only. This includes accusing another user of being a bot or paid actor. Trolling is uncivil and is grounds for removal and/or a community ban. Do not respond to rule-breaking content; report it and move on.


2. All posts should contain a source (url) that is as reliable and unbiased as possible and must only contain one link.


Obvious biased sources will be removed at the mods’ discretion. Supporting links can be added in comments or posted separately but not to the post body. Sources may be checked for reliability using Wikipedia, MBFC, AdFontes, GroundNews, etc.


3. No bots, spam or self-promotion.


Only approved bots, which follow the guidelines for bots set by the instance, are allowed.


4. Post titles should be the same as the article used as source. Clickbait titles may be removed.


Posts which titles don’t match the source may be removed. If the site changed their headline, we may ask you to update the post title. Clickbait titles use hyperbolic language and do not accurately describe the article content. When necessary, post titles may be edited, clearly marked with [brackets], but may never be used to editorialize or comment on the content.


5. Only recent news is allowed.


Posts must be news from the most recent 30 days.


6. All posts must be news articles.


No opinion pieces, Listicles, editorials, videos, blogs, press releases, or celebrity gossip will be allowed. All posts will be judged on a case-by-case basis. Mods may use discretion to pre-approve videos or press releases from highly credible sources that provide unique, newsworthy content not available or possible in another format.


7. No duplicate posts.


If an article has already been posted, it will be removed. Different articles reporting on the same subject are permitted. If the post that matches your post is very old, we refer you to rule 5.


8. Misinformation is prohibited.


Misinformation / propaganda is strictly prohibited. Any comment or post containing or linking to misinformation will be removed. If you feel that your post has been removed in error, credible sources must be provided.


9. No link shorteners or news aggregators.


All posts must link to original article sources. You may include archival links in the post description. News aggregators such as Yahoo, Google, Hacker News, etc. should be avoided in favor of the original source link. Newswire services such as AP, Reuters, or AFP, are frequently republished and may be shared from other credible sources.


10. Don't copy entire article in your post body


For copyright reasons, you are not allowed to copy an entire article into your post body. This is an instance wide rule, that is strictly enforced in this community.

founded 2 years ago
MODERATORS
you are viewing a single comment's thread
view the rest of the comments
[–] Pandantic@midwest.social 38 points 1 year 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.

[–] WindyRebel@lemmy.world 6 points 1 year ago* (last edited 1 year 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.

[–] Pandantic@midwest.social 4 points 1 year 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.