United used an algorithm system to identify patients who it determined were getting too much therapy and then limited coverage. It was deemed illegal in three states, but similar practices persist due to a patchwork of regulation.
Yeah, health insurance companies are bad. At least one of their leaders is dead now, so we've got that going for us.
Even if we changed the laws so they have to stop the bad stuff they're doing now, that won't repair the damage done and they probably won't have to forfeit their ill-gotten profits. Health insurance companies should be dissolved, the leadership barred from working in the industry or government, and all the related assets and wealth seized.
Imagine putting all those claims processors to work for fully funded, comprehensive, single-payer care. Cost goes down, successful treatment goes up. Imagine putting nurses, CNAs and PCAs in homes, rather than poorly run, overpriced nursing facilities.
No joke, it’s why some public health systems cater to tourists without cost. It’s just not worth it to set up a system to control and charge money from “people who shouldn’t receive care”, so just make it universal and be done with it.