Marketplace Tech with Molly Wood   /     The algorithm behind health insurance denials

Description

Some of the biggest health insurers in the country are turning to an algorithm to help determine if a medical claim will be approved. That’s according to a recent investigation led by ProPublica into EviCore, a contractor used to outsource prior approval requests for much of the insurance industry. The investigation found that EviCore tweaks an algorithm to increase the likelihood those claims will be denied, which means lower costs for insurers but more patients losing access to potentially lifesaving care. Marketplace’s Meghan McCarty Carino spoke to ProPublica’s T. Christian Miller, who co-reported this story.

Subtitle
Duration
00:12:06
Publishing date
2024-11-21 10:47
Link
https://www.marketplace.org/shows/marketplace-tech/the-algorithm-behind-health-insurance-denials
Contributors
  Marketplace / Marketplace Tech Staff
author  
Enclosures
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audio/mpeg