Congress VS Insurance CEO's

@lovegood_allie

251.1K followers · usually 1.2K views a post

Views

44.7K

Likes

2.1K

Comments

270

Shares

223

SoundTikTok sound · original sound - lovegood_allie

Why it worked

The video likely performed well due to the inherent conflict and high stakes of a congressional hearing questioning a major corporation. The clear presentation of data, the direct confrontation, and the emotional appeal of "people's lives" and "children's lives" would resonate with viewers concerned about healthcare access and insurance practices.

Summary

A congresswoman questions an insurance CEO about high denial rates for healthcare claims, presenting data that contradicts his company's reported figures. The exchange highlights the discrepancy between the company's stated denial rate and the data, and the low rate at which patients appeal denied claims.

Structure

1Introduction of the conflict: Congress vs. Insurance CEOs
2Congresswoman presents data on United Healthcare's denial rates
3CEO claims a much lower denial rate
4Congresswoman questions the CEO's awareness of the data and the appeal process
5Discussion on the low appeal rate and high reversal rate when appeals are made
6Congresswoman emphasizes the human impact of claim denials

Product placement

United Healthcare Group ACTS - it is a parent company that received claims and has a denial rate. Removing it would change the data presented. The video also shows a chart with multiple other insurance companies like Blue Cross Blue Shield of Alabama, Health Care Service Corporation, Molina Healthcare, Elevance Health, CVS, and Cigna Health, all of which ACT as parent companies that received claims and have denial rates. Removing them would change the data presented.

Original caption

Patients deserve better #healthcare #chronicillness #insurance #medicalcare

More from @lovegood_allie

On-screen text

Congress VS Insurance CEO's Hemsley, you got a $60 million one-time equity award That's a lot of money You were just asked about the denial here of the denial rates could see it, but United Healthcare Group says your in-network denial rate is 33% colleague that was inaccurate report is inaccurate? of what your denial rates are? Representative, I think we are aware of our denial rates I don't know the context you're showing me aware of the Okay denial rate is? Less than 2% Yeah, that's like wildly off from any any numbers that I have The other thing that's fascinating is that we find that most people will not appeal these denials We've seen that less than 1% of claims are appealed, but are, insurance reverse 44% of the time That's almost half Why do your patients fight your company to claims covered? Representative, again, I appreciate the subject It's important They shouldn't have to fight We should make this much easier and intuitive, and we use technology for We have a number of initiatives in market right now Try to make it real The way you're talking about this is not sympathetic It's not compassionate It's not compassionate I appreciate the topic These are people's lives These are children's lives This is when people you want to help people when When they get a bill, to go into medical debt dollars a debt

Transcript

Hemsley, you got a $60 million one-time equity award. That's a lot of money. You were just asked about the denial here of the denial rates. I have a chart right here. Denial Rates For HealthCare.gov Parent Companies That Received More Than 5 Million Claims, 2023. United Healthcare Group says your in-network denial rate is 33%. colleague that was inaccurate. Are you saying the report is inaccurate? of what your denial rates are? Representative, I think we are aware of our denial rates. I don't know the context you're showing me. Okay. What do you think your denial rate is? Less than 2%. Yeah, that's like wildly off from any any numbers that I have. The other thing that's fascinating is that we find that most people will not appeal these denials. We've seen that less than 1% of claims are appealed, but are, insurance reverse 44% of the time. That's almost half. Why do your patients fight your company to get claims covered? Representative, again, I appreciate the subject. It's important. They shouldn't have to fight. We should make this much easier and intuitive, and we use technology for that purpose. We have a number of initiatives in market right now. Try to make it real. The way you're talking about this is not sympathetic. It's not compassionate. It's not compassionate. I appreciate the topic. These are people's lives. These are children's lives. This is when people you want to help people when they get a bill, to go into medical debt dollars a debt.

That’s the best advice this doctor could give me.. really?!?! Sadly this is a t