Comment by nradov
5 hours ago
No, that's not how it works. Due to the ACA minimum medical loss ratio, most health plans have no direct financial incentive to deny treatment.
5 hours ago
No, that's not how it works. Due to the ACA minimum medical loss ratio, most health plans have no direct financial incentive to deny treatment.
It's nice to know they do it just for the love of the game.
Mostly they do it because their customers (employers that sponsor health plans) ask them to in order to hold down costs.