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Guess Who Has the Highest Medical Claim Rejection Rate?

Agent Ferris

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Deny This: Guess Who Has the Highest Medical Claim Rejection Rate?

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Deny This: Guess Who Has the Highest Medical Claim Rejection Rate? | NewsBusters.org

That's right folks, medicare denies more sick people coverage then every single private insurance company combined. But hay by all means let's crush those evil insurance companies and vest our healthcare in the state. Obama, Reid, Pelosi you are sick ****ing jokes.
 
Damn,kinda puts to rest the notion that Democrats care for the little guy.
 
Doesn't Medicare have a different demographic, consisting of more elderly people? Yes, they are rejected for one more day in the hospital because they actually need to have to go to a nursing home but are waiting for a bed. Yes they are rejected for in-hospital rehab. Yes they are not eligable for an insulin pump under medicare, and elderly have far higher rates of type 2 diabetes.
 
Doesn't Medicare have a different demographic, consisting of more elderly people? Yes, they are rejected for one more day in the hospital because they actually need to have to go to a nursing home but are waiting for a bed. Yes they are rejected for in-hospital rehab. Yes they are not eligable for an insulin pump under medicare, and elderly have far higher rates of type 2 diabetes.

Less of a % of the population are covered by medicare than by private insurance companies and yet they have more rejections rates than all private insurance companies combined.
 
That's right folks, medicare denies more sick people coverage then every single private insurance company combined. But hay by all means let's crush those evil insurance companies and vest our healthcare in the state. Obama, Reid, Pelosi you are sick ****ing jokes.

Did you ever stop to think that maybe this is because Medicare has more sick people? Also, what does "denied for reasons other than a claim edit" mean? Without more information on the actual circumstances of these denials, you can't possibly draw any logical conclusion from this data.
 
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That's right folks, medicare denies more sick people coverage then every single private insurance company combined. But hay by all means let's crush those evil insurance companies and vest our healthcare in the state. Obama, Reid, Pelosi you are sick ****ing jokes.

Their denial percentage is comparable to each of those other insurance companies, especially Aetna.

Misrepresentation FTW!
 
Maybe they're more likely to submit a claim because they have government insurance? This requires more research before you come to a conclusion.
 
Less of a % of the population are covered by medicare than by private insurance companies and yet they have more rejections rates than all private insurance companies combined.

What does "Less of a % of the population" mean?
 
Their denial percentage is comparable to each of those other insurance companies, especially Aetna.

Misrepresentation FTW!

lol um no they deny more people than all of the private insurance companies combined. Are you suggesting that medicare insures more people then all of those private insurance companies combined?
 
lol um no they deny more people than all of the private insurance companies combined.

And is that because the big evil government is trying to pull the plug on grandma, or some other reason? Please, thrill me with your insight. Perhaps you could even respond to my previous post.

Agent Ferris said:
Are you suggesting that medicare insures more people then all of those private insurance companies combined?

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.
 
Doesn't Medicare have a different demographic, consisting of more elderly people? Yes, they are rejected for one more day in the hospital because they actually need to have to go to a nursing home but are waiting for a bed. Yes they are rejected for in-hospital rehab. Yes they are not eligable for an insulin pump under medicare, and elderly have far higher rates of type 2 diabetes.


They consist of more elderly people, because you can't draw medicare until you're 65. However, those people have been paying into medicare--matched by their employer--their entire working lives. There shouldn't be any reason they're denied treatment. I mean, an individual + his employer will pay literally hundreds of thousands of dollars into that system. Medicare payments are mandated by the government and medicare is going to turn around and deny care? That's BS. I believe that if a person is denied care by medicare, that he should get a refund of every dollar that he ever paid into it and so should his employer(s).


It just goes to show cocked up government run health care really is.
 
They consist of more elderly people, because you can't draw medicare until you're 65. However, those people have been paying into medicare--matched by their employer--their entire working lives. There shouldn't be any reason they're denied treatment. I mean, an individual + his employer will pay literally hundreds of thousands of dollars into that system. Medicare payments are mandated by the government and medicare is going to turn around and deny care? That's BS. I believe that if a person is denied care by medicare, that he should get a refund of every dollar that he ever paid into it and so should his employer(s).


It just goes to show cocked up government run health care really is.

Do you have any evidence at all to identify WHY they were denied care, and what the circumstances of their claims are? Or are you just jumping to whichever conclusion best fits with your preconceived notions of government health care?
 
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.

You didn't look at the column that showed the percentage of claims denied. Did you?
 
You didn't look at the column that showed the percentage of claims denied. Did you?

I did. Now perhaps you'd like to explain to us all what exactly that column means, and what conclusion you can draw from it. :2wave:
 
Did you ever stop to think that maybe this is because Medicare has more sick people?

And did you ever stop to think that even though medicare covers less people than private insurance companies they still deny more people than private insurance companies?

35 million people are covered by medicare whereas 200 million people are covered by private insurance companies and yet more people are still denied coverage by medicare.

Also, what does "denied for reasons other than a claim edit" mean?

I believe that means if you file the paperwork for the claim incorrectly it is automatically denied and you have to re-file the claim properly.
 
Do you have any evidence at all to identify WHY they were denied care, and what the circumstances of their claims are? Or are you just jumping to whichever conclusion best fits with your preconceived notions of government health care?

It doesn't matter why they were denied. The government forced them to pay into the system. There's no excuse for denying a claim.

If I'm not happy with my private insurance, I can stop paying them. You don't have that option with medicare. Why not?
 
I did. Now perhaps you'd like to explain to us all what exactly that column means, and what conclusion you can draw from it. :2wave:

It means that medicare has the highest percentage of denials. That's what it means...:doh
 
It doesn't matter why they were denied. The government forced them to pay into the system. There's no excuse for denying a claim.

Really? So if I'm an elderly man who goes to a witch doctor who uses a voodoo doll to try to cure me, there's no excuse for Medicare denying my claim?

apdst said:
If I'm not happy with my private insurance, I can stop paying them. You don't have that option with medicare. Why not?

Irrelevant to the subject at hand.
 
It means that medicare has the highest percentage of denials. That's what it means...:doh

OK, great. They have the highest percentage of denials. Congrats, you can read a graph. Now if you aren't going to draw any conclusion from that tidbit, then you have nothing more to add to the conversation. :2wave:
 
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And did you ever stop to think that even though medicare covers less people than private insurance companies they still deny more people than private insurance companies?

35 million people are covered by medicare whereas 200 million people are covered by private insurance companies and yet more people are still denied coverage by medicare.

Why do you suppose that is? What conclusions can you draw about Medicare based on this fact?
 
That's right folks, medicare denies more sick people coverage then every single private insurance company combined. But hey by all means let's crush those evil insurance companies and vest our healthcare in the state. Obama, Reid, Pelosi you are sick ****ing jokes.

Close to 7,000.000 Million "Disqualified"...:doh I want B.O.'s "Health Care"....:mrgreen:
 
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Did you ever stop to think that maybe this is because Medicare has more sick people?

Oh,so it's ok if the Government turns the sick away but not private insurance?
 
And is that because the big evil government is trying to pull the plug on grandma, or some other reason? Please, thrill me with your insight. Perhaps you could even respond to my previous post.

Why would denial of coverage by medicare be based on a different criteria than the denial of coverage for private insurance companies?

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.

And yet they still deny as a % they still deny claims .5% higher than the worst provider Aetna.
 
Oh,so it's ok if the Government turns the sick away but not private insurance?

If you have more sick people, of course it's more likely that more claims will be denied. :roll:
 
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