Apr 5 • 30M

Ep. 45 - How one Cigna medical director denied 60,000 claims in a month

Insurance companies routinely deny high volume, low cost care

 
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Appears in this episode

Matthew Handley
Ron Howrigon
The FLATLINING Podcast brings you great healthcare analysis and discussion each week from industry experts who know their way around politics, economics, and a doctors office. Subscribe for more great content and check out the articles at www.FLATLINING.net.
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person sitting while using laptop computer and green stethoscope near
Photo by National Cancer Institute on Unsplash

Last week the investigative publication ProPublica released an article detailing Cigna’s (CI 0.00%↑) use of a computer system that automatically denies claims that meet certain parameters. Our own president and CEO Ron Howirgon was interviewed for the article and participated in a ProPublica/The Capitol Forum webinar on the matter. He and Matthew discussed the contents of the article and what can be done to solve this problem in this week’s episode of the FLATLINING Podcast.

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Articles mentioned in this program:

How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them - ProPublica

Medically Necessary - ProPublica via YouTube

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