Guaranteed Healthcare

This essay will help you understand how and why your health insurance claims are denied and why they must be denied for our for-profit system to thrive.

The insurance industry in the United States has a single purpose, to provide a stream of profits to shareholders who own the stock of healthcare companies. Guaranteeing the healthcare needs of the American people is not even an afterthought.  Our private, for-profit insurance industry is a huge, sophisticated and dangerous denial machine.

We pay huge premiums year-after-year, then when we become ill, our claims are routinely denied.

I'm going to take you inside one company which functions exclusively to deny as many claims as possible.  Remember a denied claim goes right to the bottom line.

The first concept you need to understand is the Medical loss ratio.  You and I are losses in insurance industry lingo.

The medical loss ratio refers to the percentage of dollars actually spent on medical care versus administrative costs or profit. The higher the ratio, the more money is being spent on actual delivery of care. Components of the medical loss ratio include payments to physicians, hospitals, pharmacists and other providers of health care.