The Story Behind the Killing of United Healthcare’s CEO
Unmasking our Health Insurance
A New Development in The Shooting of United Healthcare’s CEO
There has been an important development in the story behind the shooting death of United Healthcare CEO Brian Thomas. A number of United Healthcare shareholders have requested a vote at the next shareholder’s meeting on commissioning a study to determine the impact on the public of the policies and practices the company uses to delay and deny healthcare and report the findings back to the shareholders.
What makes this development so important is that it promises to thrust the policies and practices United Healthcare and the entire healthcare insurance industry are using to ration healthcare into the open. United Heallthcare simply standing in as a poster-child for the policies and practices of the entire healthcare insurance industry.
Thirty-five years ago, the U. S. Supreme Court unanimously ruled that “the inducement to ration care is the very point” of private health insurance. So, we know they’re doing it, but how? Because, insurance companies lack the legal authority to determine the healthcare an individual needs. Only an attending physician can make that determination. However, if an insurance company can block “ALL” payment for the care they decide to delay/deny/ration, they can be assured that no doctor or hospital is going to provide the care for free. And, that is exactly what United Healthcare is doing. They are DELIBERATELY and SECRETLY contractually blocking “ALL” payment as their “INDUCEMENT” to ration healthcare.
But wait a minute. How can they have gotten away with something so brazed as to stop “ALL” payment for the care our doctor says we need? How can they simultaneously block “ALL” payment for the care they deny and allow us to be outrageously overbilled for the care we get? And, how can they have gotten away with this subterfuge for what, 35-years?
They created contracts (Provider Agreements) with ever one of their in-network providers of
healthcare that not only detail what we are owed from our insurance, but state exactly how the care we are owed is to be determined, delivered and billed. Then they had the states lock these Agreements away as secret proprietary documents so that you, I and every insured individual can’t access them. In fact, they have gone well out of their way to ensure we don’t even know the Agreements exist. And then to add to subterfuge, they have misled you, me and the public on everything we think we think we know about health insurance.
Simply put, United Healthcare, along with the entire healthcare insurance industry, blatantly use their SECRET Agreements/Contracts to deny care and coverage, and then turn around and ignore the portions of the Contracts that require the provider to provide all the care OUR doctor determines we need. — the old heads I win, tails you lose.
I hit this very wall some years back when our insurer not only denied the care my wife needed, but contractually barred me from personally paying for it so that she died untreated. Needless to say the rage I felt compares favorably with what has been voiced following the death of United Healthcare’s CEO.
It took me years to access these SECRET Contracts and even longer to decipher the double-speak used to deny the care and coverage we are owed. In fact, Wendell Potter in his book Deadly Spin pointed to just how good United Healthcare is at playing the game while hiding the rules.
The bottom line is that the practices and policies United Healthcare, and the rest of the healthcare insurance companies are using to delay and deny (ration) healthcare can only survive in secret. Fortunately, a number of United Healthcare shareholders have put that secrecy at serious risk.
Go to www.killAbill.com for more of the issue.
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