Americans by and large believe the healthcare system is failing them. Despite spending on healthcare than any other Organization for Economic Cooperation and Development country in the world, a found that more than 70 percent of U.S.
adults feel that one way or another it is not meeting their needs. One of the major drivers of this dissatisfaction is our confusing and opaque system, which poses challenges for many patients. Its complexity, high costs, and gaps in coverage have led nearly to believe that health insurance providers are not transparent about what they cover, as well as left them feeling lost when it comes to navigating co-insurance payments and deductibles.
Private health insurance premiums have increased since 2010 and are predicted to reach a . Yet despite the dramatic cost increase, consumers are not getting their monies worth in the form of better coverage, access, or quality of care. In fact, health insurance companies excel in finding ways and all sorts of reasons to deny claims for medical care.
This includes requiring prior authorization or “advanced notification” to and for procedures designed to save lives, like . As a result, many Americans have delayed or skipped care for fear of what the bills may amount to, defeating the very purpose of health insurance. Regardless of the reason, this practice must be addressed, as these companies have no excuse for denying, underpaying, or improperly processing legitimate claims submitted by patients and provi.