In this podcast episode, hosts David Contorno and Emma Fox expose the frustrations and unethical practices of UnitedHealthcare, one of the largest healthcare insurance providers in the US. They share personal experiences and highlight UnitedHealthcare's dominance in the market, prioritizing their own interests over those of employers and employees. The hosts discuss the rigged profit strategy of UnitedHealthcare and its manipulation of revenue and costs. They also emphasize the need for transparency, accountability, and reform in the insurance industry. Overall, this podcast sheds light on the challenges faced by individuals and businesses dealing with UnitedHealthcare and calls for action to disrupt the profit-driven healthcare system.
Episode Outline:
(00:00:02) UnitedHealthcare's Impact on the Healthcare System
(00:04:06) UnitedHealthcare's Profits Soar
(00:09:05) UnitedHealthcare's Profit Strategy
(00:13:35) Manipulation of Healthcare Costs
(00:17:54) Profit Motivation in UnitedHealthcare
Quotes:
(00:02:54) When I started to talk about these alternative plans, the carriers, and not just United, but certainly United, rightfully understood that if this picks up steam, that it's not good for their interests.
(00:04:57) I don't believe that brokers are inherently unethical people. I do believe that the landscape we've been given to conduct our business is unethical.
(00:10:54) They also figured out a way to make money from every single tax paying American because the second place that their profit came from was the Medicare side. The government side of the house, which is fully funded by taxpayers.
(00:15:07) You can't convince me at this point that these people are not criminals, that they're not just thieves.
(00:18:12) The medical loss ratio provision, which is an incentive for costs to go up to fully insured carriers, does not apply on the Medicare side. On the Medicare side, the lower the costs are, the more money United makes. On the commercial side, the higher the costs are, the more money United makes.
Social Post:
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In their latest episode, they dive into the controversial topic of UnitedHealthcare and its impact on the industry. David shares his personal history with the company, from being in bed with them to facing threats when advocating for clients' best interests. 😱
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🎧 Are you tired of the healthcare system leaving you with a hangover? Introducing "The Healthcare Hangover" podcast with David Contorno and Emma Fox! 💊💼
In their latest episode, they dive into the unethical practices of insurance carriers and how brokers are getting the short end of the stick. 😱
Discover how carriers like Blue Shield are cutting broker's paychecks, leaving them to work for pennies on the premium they bring in. 😤
But that's not all! They also discuss UnitedHealthcare's jaw-dropping profits and how their revenue and profit have skyrocketed. 📈
If you've never heard of "The Healthcare Hangover" podcast, now is the time to tune in! Get ready for eye-opening insights and thought-provoking discussions. 🧠💡
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#HealthcareHangover #Podcast #InsuranceCarriers #UnethicalPractices #EyeOpeningInsights #MustListen
🎧 Are you tired of being fooled by the healthcare industry? Well, we've got the podcast for you! Introducing "The Healthcare Hangover" with David Contorno and Emma Fox. In their latest episode, they uncover the shocking truth about how large carriers and PBMs are ripping us off. 💰
Did you know that even with an 80% discount on generics, pharmacies are still overcharging us by FIVE times? 😱 These so-called "spread pricing" tactics are just the tip of the iceberg when it comes to the criminal activities happening in the healthcare industry.
But it doesn't stop there! The hosts also reveal how carriers reward fraudulent claims and make money by clawing it back from the very pharmacies dispensing the drugs. It's practically theft! 😡
If you've ever wondered why your premiums keep going up, despite carriers making billions in profit, this episode will blow your mind. 🤯 David and Emma expose the lies and manipulation that keep us in the dark.
Don't be fooled any longer! Join us on "The Healthcare Hangover" and discover the truth behind the healthcare industry's dirty secrets. Tune in now and let's fight back against these thieves! 💪🔥
Listen to the full episode here: [insert podcast link] #HealthcareHangover #UncoverTheTruth #FightBack
Introduction:
Welcome to "The Healthcare Hangover," where we delve into the headaches and challenges of the healthcare system. In this episode, hosts David Contorno and Emma Fox shed light on the disturbing practices of UnitedHealthcare (UHC), one of the largest healthcare insurance providers in the US. Join us as we uncover the truth behind UHC's dominance, resistance to change, and their prioritization of profit over the wellbeing of employers and employees.
Understanding the Profit-Driven Healthcare System:
The podcast dissects how insurance carriers manage their medical loss ratio and aim for profitability. One of the key players in this equation is Optum, a company that helps carriers maximize profits by managing their loss ratio. However, the lack of understanding among employers and self-funded employers about the pricing mechanisms in the pharmacy benefit management (PBM) space is a cause for concern.
The Dark Side of Spread Pricing:
The hosts shed light on the concept of spread pricing, where pharmacies receive significantly less than the discounted price paid by employers for prescription drugs. Large carriers, many of whom own PBMs, allegedly use spread pricing to manipulate loss ratios and adjust prescription prices accordingly. These practices are deemed unethical and akin to theft, leaving employers and employees at a disadvantage.
Unveiling the Profit Game:
David and Emma share their personal experiences working for carriers and brokers, where they were trained to sell plans and increase business for the carriers. They criticize the explanations given to clients about premium increases, attributing them to trends and pooling. They argue that carriers' profits should result in premium decreases, rather than burdening individuals and businesses.
The Call for Transparency and Reform:
The hosts express their frustration with employers and brokers for not being more outraged by these practices. They call for transparency, accountability, and reform in the insurance industry. It is time to question what can be done to address these issues and fight against the profit-driven healthcare system. They invite listeners to join their group of disruptors and innovators called "antibuca" and vow to uncover more details about UnitedHealthcare and other healthcare companies.
Data-Driven Insights:
UnitedHealthcare, the country's largest insurer by revenue, reported a significant increase in profit driven by its Optum division and the Medicare side of the business. The profit increase from Optum offset a smaller increase in profit on the insurance side. This unique business model allows UnitedHealthcare to make money from every tax-paying American through its profit from the Medicare side, which is fully funded by taxpayers. The sheer volume of dollars involved is now becoming unfathomable.
Conclusion:
The podcast episode "The Healthcare Hangover" provides valuable insights into the unethical practices and profit-driven healthcare system perpetuated by UnitedHealthcare. The hosts, David Contorno and Emma Fox, shed light on the manipulation of loss ratios, spread pricing, and the lack of transparency in the industry. It is time for individuals, employers, and employees to unite and demand transparency, accountability, and reform in the insurance industry. Join the movement of disruptors and innovators fighting for a fair and patient-centric healthcare system. Together, we can challenge the status quo and create a better future for all.
Episode Links
Connect with Emma Fox
Connect with David Contorno
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