Marketplace Tech

The algorithm behind health insurance denials


Listen Later

Some of the biggest health insurers in the country are turning to an algorithm to help determine if a medical claim will be approved. That’s according to a recent investigation led by ProPublica into EviCore, a contractor used to outsource prior approval requests for much of the insurance industry. The investigation found that EviCore tweaks an algorithm to increase the likelihood those claims will be denied, which means lower costs for insurers but more patients losing access to potentially lifesaving care. Marketplace’s Meghan McCarty Carino spoke to ProPublica’s T. Christian Miller, who co-reported this story.

...more
View all episodesView all episodes
Download on the App Store

Marketplace TechBy Marketplace

  • 4.5
  • 4.5
  • 4.5
  • 4.5
  • 4.5

4.5

1,230 ratings


More shows like Marketplace Tech

View all
WSJ Tech News Briefing by The Wall Street Journal

WSJ Tech News Briefing

1,640 Listeners

Marketplace Morning Report by Marketplace

Marketplace Morning Report

866 Listeners

WSJ What’s News by The Wall Street Journal

WSJ What’s News

4,317 Listeners

WSJ Your Money Briefing by The Wall Street Journal

WSJ Your Money Briefing

1,751 Listeners

Marketplace by Marketplace

Marketplace

8,547 Listeners

Planet Money by NPR

Planet Money

30,850 Listeners

Marketplace All-in-One by Marketplace

Marketplace All-in-One

1,348 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,184 Listeners

The Uncertain Hour by Marketplace

The Uncertain Hour

2,169 Listeners

Make Me Smart by Marketplace

Make Me Smart

5,489 Listeners

Bold Names by The Wall Street Journal

Bold Names

1,433 Listeners

The Indicator from Planet Money by NPR

The Indicator from Planet Money

9,531 Listeners

This Is Uncomfortable by Marketplace

This Is Uncomfortable

3,521 Listeners

Short Wave by NPR

Short Wave

6,223 Listeners

Marketplace Minute by Marketplace

Marketplace Minute

163 Listeners

Million Bazillion by Marketplace

Million Bazillion

2,568 Listeners

How We Survive by Marketplace

How We Survive

1,304 Listeners

Financially Inclined by Marketplace

Financially Inclined

86 Listeners

Everybody in the Pool by Molly Wood

Everybody in the Pool

210 Listeners