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affordable health care

The Conversation

The Conversation

•

5 of the most frustrating health insurer tactics and why they exist

The Conversation

Summary

Nutrition label

85% Informative

The share of uninsured Americans ages 18 to 64 fell from 18% before the ACA to 9.5% in 2022 .

Even for those with health insurance, coverage does not ensure access to care, much less high-quality and affordable care.

We’d like to unpack five of the most common strategies used by health insurers to ensure care is medically necessary, cost-effective or both.

The largest health insurance companies all have their own pharmacy benefit managers.

Pharmacy benefit managers inflate drug costs to overpay their own vertically integrated pharmacies.

The industry reports that profit margins are only 3% to 6% , yet the billions of dollars in profits they earn every year may feel to many like a direct result of the day-to- day struggles that patients face getting care they need.

VR Score

85

Informative language

85

Neutral language

43

Article tone

formal

Language

English

Language complexity

62

Offensive language

not offensive

Hate speech

not hateful

Attention-grabbing headline

not detected

Known propaganda techniques

not detected

Time-value

short-lived

External references

49

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