Wednesday, March 10, 2010

Claim Denied! Inside the Numbers of Insurance Claim Denials

Claim-Denied2If you were to stop a Democrat politician on the street or at a town hall (if you can actually get them to attend one) and ask them why they are supporting Obamacare, you are less likely to get facts than you are a sad story about some poor American who had their health care claim denied by one of the evil insurance companies that prey on the sick and feeble.

Even we here at theKansasCitian have told you similar stories.  Such as the one about Barbara Wagner, a terminal cancer patient who filed to have her chemo therapy covered but was denied by her insurer.  To add insult to injury, not only did the insurer deny her claim, but they told her they would cover the costs of assisted suicide.

No, her insurer wasn’t Humana.  It wasn’t Blue Cross Blue Shield.  And it wasn’t Cigna.  In fact, it wasn’t a private health insurer at all.  It was Oregon’s government run health care plan.

Ms Wagner’s not alone.  According to a  2008 AMA (American medical Association) report, Medicare denied more patient claims than all other private insurers.

Let me say that again.  MEDICARE DENIED MORE CLAIMS THAN ALL OTHER PRIVATE INSURERS.

In 2009, Medicare didn’t prove much better, topping all other private insurers but one in percentage of claims denied.

In case you were wondering, Barbara Wagner eventually died from her cancer and Oregon never did kick in for her chemo.

So, while Democrats are quick to spin tales of insurance woes, the fact remains that government run healthcare, like everything the government runs, is inefficient, expensive, and just might get you killed.

3 comments:

Anonymous said...

Would somebody, a journalist, blogger, just someone, do a piece on the difference between health insurance and health care. They are not the same, yet people are trying to suggest you can't have the latter without the former.

James said...

Couldn't agree more. Every American has access to health care, the supreme court assured that.

What the Democrats are talking about is health insurance, not health care.

Their bill does nothing, absolutely nothing to reduce health care costs. But it will increase you health insurance premiums, so says the CBO.

The cost of an x-ray will not change. The cost of a strep test will not change. The cost doctors pay for malpractice insurance will not change.

Basically, health care costs will continue to rise, and what the government reimburses doctors for will go down. And conversely so will services provided by doctors.

Anonymous said...

You hear a lot about people having the right to health care. What is a right? A right should not require anyone to pony up money for someone to be able to exercise a right.

For example, this so-called kansascitian has the right to free speech. But none of us are required to pay for his internet website, or buy him a newspaper in which to express his opinion.

Similarly, he has a right to worship, and to bear arms, but we are not required to build him a church or buy him a weapon.

How is health care a right when it requires others to pay for it?