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‘Make money by denying care’: new US rules aim to curb use of approval by private health insurances
(www.theguardian.com)
this post was submitted on 02 Feb 2024
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Their job is to extract profits from people who need healthcare, and ease the monetary burden on the business by denying as many claims as possible to increase profits. Preventative care would benefit them in the long run along with the population that they 'serve', but short term profits don't care about the long term.
people switch insurance when they switch jobs so the math is deny and let it' be another insurance company's problem
You might know this, just adding it as context.
Prior to Obamacare insurance companies would deny things like cancer when you switched insurances by calling it a 'preexisting condition'. As in you had cancer before signing up for their insurance.
Companies loved this because it made their employees afraid to leave because their current insurance might cover their treatments, but switching jobs most likely mean that their new insurance wouldn't.
The requirement to honor a "Certificate of Credible Coverage" with like a 30-day gap was a fucking godsend, and even then, health plans still didn't have to cover any minimum set of services, medications, procedures, etc. like they do under the ACA. Insurance providers were free to just be like, "No, we don't cover chemo at all, period, fuck off." But more common, by far, was simply not covering prescriptions. Like, at all. You go to the doctor, get fixed up, and here's to hoping the meds they want to give you are generic, because you're paying out of pocket.