this post was submitted on 05 Dec 2024
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Data is Beautiful

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Claim Denial Rates by U.S. Insurance Company (slrpnk.net)
submitted 3 weeks ago by Five@slrpnk.net to c/dataisbeautiful@mander.xyz
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[–] HootinNHollerin@slrpnk.net 12 points 3 weeks ago* (last edited 3 weeks ago) (3 children)

I just enrolled in United instead of Kaiser…

[–] takeda@lemmy.world 27 points 3 weeks ago (1 children)

Kaiser is special compared to others on that list, because it also provides the facilitiea and doctors.

They can't directly impose things on doctors, but they provide bonuses for saving company money.

So while the rejection rate is low, doctors are far less likely to choose new treatments that might be better, because they cost more.

For example if you have an auto immune disease in Kaiser the doctor will see less problem keeping you on DMARD and NSAID medication instead recommending biologics than doctors in other medical groups.

[–] HootinNHollerin@slrpnk.net 8 points 3 weeks ago

Makes sense thanks for the context

[–] Serinus@lemmy.world 1 points 3 weeks ago

Because it was cheaper?