Sick of getting rated by the insurers?
UnitedHealth Group was the worst of the national insurers, rating lowest in patient opinion polls at 65 out of 100 and also ranking worst in hospital reputation with only 8% positive/91% negative scores.
Aetna had a 66 out of 100 point score for patient opinion and had the highest reputation with hospitals at 57% positive/37% negative scores.
A score of 57% is considered the “best”?
In terms of regional payers, Medicaid was consistently rated as one of the worst.
The Medicaid system in New York was by far the worst of the worst, taking more than three times as long to pay as the best Medicaid system and approving only 57% of the charges on the “first pass” compared to 92% of the charges on “first pass” paid by the best Medicaid system. New York Medicaid also had the highest denial rate, the lowest denial “transparency” and the highest noncompliance with national coding standards (more than 100 times greater than the best ranking state).
So is it just a coincidence that a hospital New York was in the news for some bad patient outcome not too long ago?
UPDATE AUGUST 14, 2008
Just found this 2008 AMA National Insurer Report Card.
CIGNA and Humana are at the bottom of the list in timeliness.
CIGNA and Health Net are at the bottom of the list in Accuracy.
CIGNA and United Health reduce the most number of claims to $0 by edits.
Notice a pattern?