Bob Herman
๐ค PersonAppearances Over Time
Podcast Appearances
So people's frustrations have been bubbling under the surface for so long. So to say you were surprised by all of the reactions, then I think maybe you had your head buried in the sand a little bit.
So UnitedHealthcare is the largest health insurance company in America. They cover more people than anyone. That includes Medicare Advantage, Medicaid, Obamacare. and all the different types of employer plans out there, and there's a lot.
So UnitedHealthcare is the largest health insurance company in America. They cover more people than anyone. That includes Medicare Advantage, Medicaid, Obamacare. and all the different types of employer plans out there, and there's a lot.
So UnitedHealthcare is the largest health insurance company in America. They cover more people than anyone. That includes Medicare Advantage, Medicaid, Obamacare. and all the different types of employer plans out there, and there's a lot.
Yeah. Now, a lot of healthcare dynamics are local. You know, the fights that often occur between health insurers and providers like hospitals and doctors, it's all about who has market share in a specific area. So United might not always have the biggest market share in a given area, but nationally... They are very powerful. They are very profitable.
Yeah. Now, a lot of healthcare dynamics are local. You know, the fights that often occur between health insurers and providers like hospitals and doctors, it's all about who has market share in a specific area. So United might not always have the biggest market share in a given area, but nationally... They are very powerful. They are very profitable.
Yeah. Now, a lot of healthcare dynamics are local. You know, the fights that often occur between health insurers and providers like hospitals and doctors, it's all about who has market share in a specific area. So United might not always have the biggest market share in a given area, but nationally... They are very powerful. They are very profitable.
There's no way getting around them in pretty much any market. They exist almost everywhere in some capacity.
There's no way getting around them in pretty much any market. They exist almost everywhere in some capacity.
There's no way getting around them in pretty much any market. They exist almost everywhere in some capacity.
If you have a UnitedHealthcare plan, you want them to negotiate better rates for you. That's their primary function. And so they use some of that heft to try and drive better deals with hospitals and doctors and other types of facilities. They're also an insurance company and they happen to deny or delay claims as well.
If you have a UnitedHealthcare plan, you want them to negotiate better rates for you. That's their primary function. And so they use some of that heft to try and drive better deals with hospitals and doctors and other types of facilities. They're also an insurance company and they happen to deny or delay claims as well.
If you have a UnitedHealthcare plan, you want them to negotiate better rates for you. That's their primary function. And so they use some of that heft to try and drive better deals with hospitals and doctors and other types of facilities. They're also an insurance company and they happen to deny or delay claims as well.
As an insurance company, the easiest way to make money is to make sure you're paying out fewer dollars. Now, there are... laws in place, especially a federal law that says you have to spend a certain amount of your premium dollars on care for people. You just have to do it. But insurers have an incentive to stay as close to those thresholds as possible.
As an insurance company, the easiest way to make money is to make sure you're paying out fewer dollars. Now, there are... laws in place, especially a federal law that says you have to spend a certain amount of your premium dollars on care for people. You just have to do it. But insurers have an incentive to stay as close to those thresholds as possible.
As an insurance company, the easiest way to make money is to make sure you're paying out fewer dollars. Now, there are... laws in place, especially a federal law that says you have to spend a certain amount of your premium dollars on care for people. You just have to do it. But insurers have an incentive to stay as close to those thresholds as possible.
They don't want to have to pay out more than they absolutely have to.
They don't want to have to pay out more than they absolutely have to.
They don't want to have to pay out more than they absolutely have to.
I think every health insurance company out there is known for their denials to some degree. Specific rates of denials are tough to come by, but insurers, especially the for-profit ones that sell on the stock market, they have an incentive to deny care.