A week or so ago, I posted Advocacy for Patients' comments on how insurers should calculate the medical loss ratio -- the portion of every premium dollar that is spent on health care. We argued that insurers should have to report separately the amount spent on utilization review and appeals -- the amount they spend trying to deny coverage to patients.
Well, it seems like we were prescient. The Washington Post reports that they're already gaming the system. Read the full article here. Jennifer