Delay and Deny: United States Commercial Health Insurance Industry Denial of Care Business Model Exposed Across Industry
American physicians and patients are waking up to The Great American Healthcare Hustle | Media Update by Kimberly J. Soenen July 31, 2022
The U.S. Court of Appeals for the 7th Circuit ruled Saint Anthony Hospital in Chicago "alleged a viable claim for relief" when it sued state officials in Illinois for not adequately overseeing the commercial health insurance companies they contracted as Managed Care organizations.
The Better Government Association series revealed a system largely bereft of government oversight in which the for-profit commercial health insurance companies boosted profits by routinely denying and reducing reimbursements to physicians who treat low-income families, foster children, pregnant women and the elderly.
St. Anthony hospital testified at the hearing, saying "they were pushed almost to the brink of bankruptcy," according to David Jackson, senior investigative reporter with the Better Government Association.
Illinois State Rep. Mary Flowers who also testified at the hearing expressed outrage saying "doctors went through the storms of the pandemic without getting paid."
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