Author Topic: California’s Real ‘Death Panels’: Insurers Deny 21% of Claims  (Read 432 times)

Mons Venus

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More than one of every five requests for medical claims for insured patients, even when recommended by a patient’s physician, are rejected by California’s largest private insurers, amounting to very real death panels in practice daily in the nation’s biggest state, according to data released today by the California Nurses Association/National Nurses Organizing Committee.

CNA/NNOC researchers analyzed data reported by the insurers to the California Department of Managed Care. From 2002 through June 30, 2009, the six largest insurers operating in California rejected 31.2 million claims for care – 21 percent of all claims.

The data will be presented by Don DeMoro, director of CNA/NNOC’s research arm, the Institute for Health and Socio-Economic Policy, at CNA/NNOC’s biennial convention next Tuesday, Sept. 8 in San Francisco. The convention will also feature a panel presentation from nurse leaders in Canada, Great Britain, and Australia exploding the myths about their national healthcare systems.
“With all the dishonest claims made by some politicians about alleged ‘death panels’ in proposed national legislation, the reality for patients today is a daily, cold-hearted rejection of desperately needed medical care by the nation’s biggest and wealthiest insurance companies simply because they don’t want to pay for it,” said Deborah Burger, RN, CNA/NNOC co-president.



Straw Man

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Re: California’s Real ‘Death Panels’: Insurers Deny 21% of Claims
« Reply #1 on: September 06, 2009, 03:39:52 PM »
More than one of every five requests for medical claims for insured patients, even when recommended by a patient’s physician, are rejected by California’s largest private insurers, amounting to very real death panels in practice daily in the nation’s biggest state, according to data released today by the California Nurses Association/National Nurses Organizing Committee.

CNA/NNOC researchers analyzed data reported by the insurers to the California Department of Managed Care. From 2002 through June 30, 2009, the six largest insurers operating in California rejected 31.2 million claims for care – 21 percent of all claims.

The data will be presented by Don DeMoro, director of CNA/NNOC’s research arm, the Institute for Health and Socio-Economic Policy, at CNA/NNOC’s biennial convention next Tuesday, Sept. 8 in San Francisco. The convention will also feature a panel presentation from nurse leaders in Canada, Great Britain, and Australia exploding the myths about their national healthcare systems.
“With all the dishonest claims made by some politicians about alleged ‘death panels’ in proposed national legislation, the reality for patients today is a daily, cold-hearted rejection of desperately needed medical care by the nation’s biggest and wealthiest insurance companies simply because they don’t want to pay for it,” said Deborah Burger, RN, CNA/NNOC co-president.

yeah but they probably had a good reason to turn down those claims

it probably helped them make a larger profit at the end of the year

Skip8282

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Re: California’s Real ‘Death Panels’: Insurers Deny 21% of Claims
« Reply #2 on: September 06, 2009, 04:37:28 PM »
yeah but they probably had a good reason to turn down those claims

it probably helped them make a larger profit at the end of the year

And one hell of a profit that must've been!  He didn't post the whole article, but one company, Pacificare, rejected 40% of it's claims in the first half of this year.  That's what I don't get about the rationing debate.  We have rationing right now.

Hereford

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Re: California’s Real ‘Death Panels’: Insurers Deny 21% of Claims
« Reply #3 on: September 06, 2009, 10:56:02 PM »
You would be surprised at the number of times insurance companies deny things here in CA ... and have no reason for doing so.

Good point straw.