Insurers inventing more roadblocks to claims, providers say

Healthcare cost

January 22, 2025

Nona Tepper  

Healthcare providers say insurance companies are innovating new ways to make it harder to get paid.

Physicians, hospitals and other providers have always complained of low rates, delayed payments and the usual red tape. But rules insurers such as Blue Cross Blue Shield of Michigan, UnitedHealthcare and Elevance Health have recently announced may be a new battleground in the age-old fight between the two camps.

Health insurance companies justify utilization management and claims review as crucial to constraining healthcare spending and ensuring that patients receive appropriate care.

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