Insurance coverage Corporations Reap Billions in Earnings Whereas Docs Get Stiffed for Serving the Poor

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The privatization of Illinois’ well being care system for the poor has shifted a whole bunch of tens of millions of {dollars} in earnings to insurance coverage firms and away from frontline medical suppliers, a Higher Authorities Affiliation investigation has discovered.

The four-month examination — together with dozens of interviews and a evaluate of hundreds of beforehand unpublished paperwork — reveals a system largely bereft of presidency oversight by which for-profit insurance coverage firms routinely deny, delay and cut back reimbursements to suppliers who deal with low-income households, foster youngsters, pregnant ladies and the aged.

The result’s a state Medicaid program run as an insurance coverage trade revenue heart, whereas service for the needy falters. The 4 nationwide insurance coverage firms — known as managed care organizations, or MCOs — final yr have been paid a file $16 billion from taxpayers.

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