Deborah Leedahl, owner of the pharmacy and gift shop in downtown Elk River, told the Star News there were a lot of factors that went into the decision to close, but the primary reason is pharmacy benefit managers who have been chipping away at her profits for years. The last […]
Elk River landmark, Kemper Drug, closes suddenly More »
Insurers have wide discretion in crafting what is covered by their policies, beyond some basic services mandated by federal and state law. They often deny claims for services that they deem not “medically necessary.” When United refused to pay for McNaughton’s treatment for that reason, his family did something unusual.
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.
How Cigna saves millions by having its doctors reject claims without reading them More »
They both had around $320 billion in 2022 revenue. Only four U.S. companies are larger: Walmart, Amazon, Apple and ExxonMobil. Companies tend to grow slowly when their annual revenue is in the multihundred-billion-dollar stratosphere. But by buying their way into so many segments of the health care system, UnitedHealth and
UnitedHealth and CVS, the unexpected Goliath vs. Goliath battle More »
