Feds help health insurers hide their dirty secret: denials on the rise

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The article discusses the alarming trend of increasing claim denials by health insurers over the past decade. It cites data showing that denial rates have surged from around 1.5-1.9% in 2013 to an average of 15% by 2022, with some insurers denying up to half of all claims. The piece emphasizes the lack of transparency regarding these denial rates, which are mandated to be reported under the Affordable Care Act (ACA). The author argues that without this information, consumers cannot make informed choices about insurance plans. The article also notes that few people appeal denied claims, but a significant proportion (41%) of those who do succeed in reversing the initial denial, indicating potential unfairness in the denial process. Additional comments highlight concerns regarding flawed practices in public health insurance, the need for external audits, and how the complexities of medical coding contribute to rising denials. There are calls for better regulations and accountability in the healthcare insurance industry.
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