WellPoint is the worst at shirking payments

Or, as Matthew Holt point out, the best as protecting profits:

Insurance companies make money off the float””always have. So it’s in their interest to be at the bottom of the list until either they get fined by the state (as happened to United in Arizona lately) or they get sued by medical associations.


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  • Marketplace.MD

    You cannot deny a cash payment or a debit from a Health Savings Account, Kevin.

    See the SimpleCare movement (www.simplecare.com) for more about cash only docs and see Marketplace.MD Update (http://blog.marketplace.md) for the latest news on HSAs.

    Also keep an eye out for this weeks submisison to Grand Rounds from “The Marketplace MD”, which will arguing why HSAs and Consumer-Driven Health Care are good for practicing physicians because they are spurring the move to real-time payment and adjudication at time of service.

    To translate, with cash-like HSA payments you don’t get denied and you do get paid right away.

  • DrumsNWhistles


    That’s not the point. HSAs are the 401(k) of the benefit world: Take the burden of benefits and shift from employer to employee. It’s not the solution to the problem.

    HSAs aside, these insurance companies need to be held to their contractual obligations, and those obligations should be clearly stated in readable and understandable language. Most people don’t even have the first clue about what their insurance will and will not cover….that’s where we need to start.

    I can only hope that Caremark is next on the hit list for sanctions.

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