Your Medical Bills Likely More Than They Should Be As Experts Sound Alarm On Secret Tactic

Experts tell the Daily Caller that an under-the-radar health care scheme may allow insurers to profit from a false sense of savings while leaving employers with the bill for medical care.

In January, the heads of the nation’s five largest health insurance companies testified before the House on lowering health care costs. What stood out, however, was what was not discussed: a health care payment structure that has only recently begun drawing attention through public advocacy campaigns and under-the-radar lawsuits.

The arrangement primarily involves self-insured employers — companies that pay their employees’ medical claims directly but contract with insurers, such as UnitedHealthcare (UHC) or Cigna, to administer the plans.

These insurers, in turn, market what they call a “shared savings program” to employers as a way to “reduce excessive billing and protect you and your family members,” according to an explainer of UHC’s program provided to employees of Nokia.

The explainer states that UHC reviews out-of-network claims and, following negotiations, recommends reduced payments. (Read more from “Your Medical Bills Likely More Than They Should Be As Experts Sound Alarm On Secret Tactic” HERE)