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PurgedVoter

(2,412 posts)
Tue Dec 31, 2024, 08:09 PM Dec 31

What if Health Insurance investors and management got the same rate of rejection they give?

This is more of a thought experiment since it is more like a Science Fiction short than a practical solution.

But with that said, after a patient and a doctor determine they want to pursue treatment, Insurance companies then decide if the treatment is allowed. Small parts can be denied and that can add up to large expenses. Yes, they have all the lawyers, but it seems like a really good class action could be made against these companies, since they practice medicine remotely and without medical training or examination, but only cancel medical practice and never suggest improvements.

So my fantasy idea is that the insurers face the same odds as the insured. I wonder how a health insurance CEO would react if he knew that someone was going to make a random determination that might result in their not getting care. If the odds were the same as their companies rejection rate, maybe they might reconsider a few decisions. If their cost of treatment was set to match the relative cost for their victims, they might make things a bit better.

5 replies = new reply since forum marked as read
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What if Health Insurance investors and management got the same rate of rejection they give? (Original Post) PurgedVoter Dec 31 OP
That would make a great Twilight Zone episode! Diamond_Dog Dec 31 #1
There are so many situations today slightlv Dec 31 #2
Ain't that the truth! Diamond_Dog Dec 31 #3
Did you do the SyFy TZ marathon? slightlv Jan 4 #4
Not really a TZ fan Diamond_Dog Jan 4 #5

slightlv

(4,636 posts)
2. There are so many situations today
Tue Dec 31, 2024, 08:36 PM
Dec 31

That would make great Twilight Zone stories. If only Rod Serling was still with us.

slightlv

(4,636 posts)
4. Did you do the SyFy TZ marathon?
Sat Jan 4, 2025, 06:28 PM
Jan 4

I did... basically from start to finish. Loved the fact they had what I considered the three best ones back to back. I even saw one I didn't remember that had Carol Burnett as the star!

Diamond_Dog

(35,437 posts)
5. Not really a TZ fan
Sat Jan 4, 2025, 07:12 PM
Jan 4

But Mr. Diamond is and he’s watched them many times before.

Carol Burnett? Wow.

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