"The problem in defense is how far you can go without destroying from within what you are trying to defend from without."
~Dwight D. Eisenhower
And yet they still deny as a % they still deny claims .5% higher than the worst provider Aetna.If the numbers in your graph are accurate, there were three times as many claims filed with Medicare as with all of those private insurance companies combined.
This image makes me highly suspicious of the claim that 21% of private health claims in California are denied.
It's very, very, very relevant to the subject at hand. All we've heard, to date, from the Libbos is how government insurance won't deny claims. Obviously that's not true.Irrelevant to the subject at hand.
Last edited by Agent Ferris; 10-07-09 at 08:12 PM.
I can think of several explanations, none of which have anything to do with the big evil government wanting to pull the plug on grandma:Originally Posted by Agent Ferris
1. More fraudulent claims are filed with Medicare then private insurers.
2. Certain claims are specifically excluded from Medicare, but not from private insurers. (In which case it's silly to argue against the effectiveness of Medicare based on these denials, as the easy fix would be to end the exclusion.)
3. If high cost medical claims are uniformly more likely to be denied, then it makes sense that the insurer with the most old and sick people would have the most denials.
Unless you have some evidence that the circumstances of these claims and denials are all identical, you can't draw any meaningful conclusion from the data.
Are you coming to bed?
I can't. This is important.
Someone is WRONG on the internet! -XKCD