Morgan Lavoie
speaker
350 appearances
16 recordings
1 series
first heard Dec 2024
last heard May 2025
Morgan Lavoie’s voice in public audio — every appearance, attributed to the second.
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Yeah, that makes so much sense. And that is something we've talked about a bit on the show. We do both business content, personal finance. And like you're saying about a marriage, it's so important to, once you feel like you're ready to put a ring on it, lock it in. It's like, how old do you want to be when you retire? What are your expectations about what our lifestyle will be like in retirement?
Similar to like, do you want this to be a unicorn? How long can you go without taking a salary? It's really helpful to be on the same page there. And so let's talk to some... not would-be founders, but founders, you say that one of the priorities for you is ruthless prioritization. Can you explain what that is and why that's important?
We end all of our episodes by asking our guests for one tip that listeners can take straight to the bank. That is such a good one. But if there's any other piece of advice that you could leave our listeners with on career or business, could be anything, fundraising, starting a business, what's one tip that you would leave listeners with today?
it's morgan the ep of the show filling in for nicole this week while she's on mat leave today we're going to talk about health insurance we're talking about this today because on december 4th brian thompson was murdered in midtown manhattan at 6 44 a.m he was 50 years old he played golf and wordle He had two sons.
He was also the CEO of UnitedHealthcare, the health insurance company with the highest rate of claim denials in the industry. So Jia, at what point did you think to yourself, I have to write about this. That's a good question. That's Gia Tolentino. Gia is a staff writer at The New Yorker and the New York Times bestselling author of a collection of essays titled Trick Mirror.
In an interview on the podcast, We Can Do Hard Things with Glennon Doyle, Doyle said that if the news is ever dark or complicated, she asks herself her own version of what would Jesus do, which is what will Gia write about this? And I find myself doing the same thing in moments like this. Gia wrote a piece in The New Yorker about what Brian Thompson's death means to America.
It's an amazing piece, and I linked it in the show notes so you can read it if you haven't already. Here she is on why she wrote it.
comments that people were posting before the Facebook was shut down that are like burned into your mind?
merchants of violence in some way and in the way that that was just instantly flipped back onto this news story was so striking thompson's death his murder is a difficult topic to cover it's difficult because there are two truths that feel mutually exclusive brian thompson should not have been killed and the health care system in the united states is broken
If you acknowledge that second truth, some say it's disrespectful to Thompson's family or it validates this really violent act. And I do understand that criticism. But I think that reaction comes from an assumption. The assumption is this. Anyone who is talking about the flaws in the healthcare system right now is arguing that the ends justify the means.
That in this case, the ends, people looking critically at the broken healthcare system in the United States, is justifying the murder of Brian Thompson. I want to be clear, that's not what I'm doing today. I'm going to be talking about the healthcare industry, what the stakes are, and how we can have a better system. But I'm not debating whether the ends justify the means.
I'll tell you personally, I think Thompson's death is terrible and tragic. But what I'm trying to do, and I hope you'll do with me, is separate the ends and the means. to acknowledge that killing is always wrong, but also to look at how we got here, how we might be able to fix what is clearly very broken in the healthcare system.
So let's rewind. Let's talk about what we know about UnitedHealthcare.
UnitedHealthcare is part of the health insurance conglomerate UnitedHealth Group, which is the fifth largest company in the United States by revenue and the largest insurance company in the United States. It's also the largest provider of Medicare Advantage, which is a type of health insurance you might get if you're over 65.
United Health Group is a public company and their stock is up 63% compared to its price five years ago. In Gia's piece, she notes that United Healthcare has the highest claim denial rate of any private insurance company. It denies 32% of claims. Claim denial is a profitability driver for healthcare companies. When Thompson was killed, he was actually headed into an investor conference.
In that conference, claim denial rate was likely going to be a topic of discussion. In fact, according to Vox, the most watched number on every earnings call for an insurance company is the, quote, medical loss ratio, which is the percentage of premiums that are spent on paying out claims. Shareholders want to see that number low. The patients, of course, would want to see that number high.
If the number is higher than expected, the share price of the stock can suffer. Jia also points out that one driver of UnitedHealth's high claim denials is a software they use called NaviHealth, which is an algorithm that provides care recommendations for patients, including when care is no longer necessary after a surgery or illness.
In 2023, a class action lawsuit alleges that Navi Health has a known error rate of 90%. This means that many people have had to face the choice of either going without care that they, by statistic likelihood, actually need or pay out of pocket. In the class action lawsuit, there are many stories of people going without the care they need and dying shortly thereafter.
Today, the parent company UnitedHealth Group is valued at $560 billion. UnitedHealth Care made $281 billion in revenue in 2023. The outstanding amount of medical debt in the United States is $220 billion. Medical debt is in fact the leading cause of bankruptcy in the United States.
The American Journal of Public Health found that 66% of bankruptcies in the United States were due to medical problems. I should note here that we do have resources for anyone struggling with medical debt, and I've linked those in the show notes. The fact that claim denials are so common makes this a blatant socioeconomic inequality issue.
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