Jan 02 2025 8 mins 5
A doctor's viral post about his comatose patient being denied care ignites a firestorm of revelations about UnitedHealthcare's systematic denial practices. Through exclusive analysis of Senate investigations, internal documents, and patient testimonies, this episode exposes how AI algorithms with 90% error rates are overriding doctor decisions, while denial rates for skilled nursing care have increased nine-fold since 2019. From Tim Anderson's wife communicating only through blinks after being denied ALS equipment, to Dr. Levy's ICU patient being questioned about "medical necessity" while on life support, we examine how America's largest health insurer achieved record profits while hospitals spent billions fighting denials. As one former employee reveals systematic training to deny claims, this episode asks a chilling question: What happens to the 99.8% of patients who can't fight back?
Episode blog and sources: jonnyllama.com
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Keywords: UnitedHealthcare denials, medical necessity, healthcare algorithms, patient stories, insurance claims, Dr. Zachary Levy, systematic denials, Medicare Advantage, NaviHealth, patient rights
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