Work­ing with foxes

Modern Healthcare - - OPINIONS LETTERS -

Re: “Feds an­nounce new anti-fraud ini­tia­tive,” Mod­ern­health­care.com, July 26: “The gov­ern­ment is part­ner­ing with in­sur­ers to find health­care fraud on real-time ba­sis.”

This is a great step for­ward in elim­i­nat­ing waste in health­care spend­ing. But isn’t it also work­ing with the foxes to see that the chick­ens stay in the coop? Don’t im­proper claims de­nials, pay­ment de­lays, poor billing sys­tems and a sense of profit en­ti­tle­ment among in­sur­ers all add to the to­tal cost of health­care? And there are many other rea­sons, too. But look­ing only to the in­sur­ers as per­haps “THE” so­lu­tion is short-sighted.

Dou­glas Butt Cedar­burg, Wis.

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