Revealing the true cost of payer profiteering on patients, providers, and communities

Excessive prior authorizations 
Insurers require burdensome approvals for even routine or medically necessary treatments, leading to care delays and increased provider workloads.

Delayed reimbursements
Our research quantifies how insurance companies slow down payments, causing cash flow issues for healthcare providers and threatening their financial stability.

High denial rates
We analyze the frequency and patterns of claim denials, exposing how insurers limit care access and force patients to navigate a complex appeals process.

Financial strain on providers
Low payment rates and aggressive cost-cutting measures are resulting in more and more hospital closures, particularly in rural areas, deeply affecting community health.

Barriers to patient care
Unfair network restrictions and sneaky denial practices limit patient access to necessary care, negatively affecting health outcomes and increasing costs.

Payer dominance
We document how the outsized bargaining power of Medicare Advantage insurers drives unfair negotiations, further destabilizing the healthcare system and contributing to inequities.

Deceptive advertising
We explore misleading marketing tactics, especially in Medicare Advantage plans, which confuse patients into buying plans that don’t provide the coverage they need.

Lobbying and political influence
Insurance companies rely on massive lobbying power to shape regulations in their favor, often at the expense of patient care and provider fairness.

Profit over patients
We investigate how profit-driven motives result in policies and practices that prioritize financial gains over patient outcomes and equitable access to healthcare.