"Another estimate, from a former top government health official, suggested the overpayments in 2020 were double that, more than $25 billion."
> Are you or Propublica making the claim that private insurers pay out the majority of their claims on trust?
That claim is made, under oath, by a "supervisor in Aetna’s Special Investigations Unit".
In a case where the insurers were repeatedly willing to be reimbursed from future payments to a provider they knew was unlicensed, no less. Where were the magical "systemic protections" that private insurers have nearly perfected while Medicare supposedly lacks them entirely?
Again, the health insurers themselves are doing much bigger scams than nine figures.
Eleven figures: https://www.nytimes.com/2022/10/08/upshot/medicare-advantage...
"Another estimate, from a former top government health official, suggested the overpayments in 2020 were double that, more than $25 billion."
> Are you or Propublica making the claim that private insurers pay out the majority of their claims on trust?
That claim is made, under oath, by a "supervisor in Aetna’s Special Investigations Unit".
In a case where the insurers were repeatedly willing to be reimbursed from future payments to a provider they knew was unlicensed, no less. Where were the magical "systemic protections" that private insurers have nearly perfected while Medicare supposedly lacks them entirely?