What ails the health insurance industry
Hindustan Times Punjab|December 12, 2024
Deny, delay, and depose pave the way for insurance company profits and widespread policyholder anger
Monika Halan
What ails the health insurance industry

Murders usually stoke a rush of sympathy for the victim and her/his family, as it should. But the murder of Brian Thompson, CEO of UnitedHealthcare, on a New York street on December 4, 2024, instead brought to the surface the simmering public anger against insurance firms which "deny, defend and depose" as a strategy to avoid claims to earn higher profits. In fact, these words were found on the bullet casings used by the assailant who has now been caught.

Thomson led the largest health insurance firm in the United States (data from tinyurl.com/mrnszwj8) with 2023 revenues of almost $360 billion. Other than being the largest company, it is also known as the one with the highest claim denials, denying, as per ValuePenguin, 32% of all claims whereas the best company denied just 7% (data from tinyurl.com/dp74kw6a). Social media comments played on standard responses in customer care when one tries to reach a health insurance firm, with one person tweeting: "I submitted a claim for my condolences but it was denied". However, no amount of public anger, misplaced or otherwise, can ever justify the murder or the criminal intent behind it.

Closer home, data on health insurance claims in the Indian market has also put the issue centre stage. Data for 2023 from the Insurance Brokers Association of India (IBAI) shows some worrying claim trends for health insurance (report here: tinyurl.com/42mydkc8). There are two main inferences from the data. First, the public sector firms are far more consumer-friendly in terms of their claims record than private sector firms. Worse, a few private health insurers have very poor claims behaviour.

This story is from the December 12, 2024 edition of Hindustan Times Punjab.

Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 9,000+ magazines and newspapers.

This story is from the December 12, 2024 edition of Hindustan Times Punjab.

Start your 7-day Magzter GOLD free trial to access thousands of curated premium stories, and 9,000+ magazines and newspapers.

MORE STORIES FROM HINDUSTAN TIMES PUNJABView All
Hindustan Times Punjab

'Like Tendulkar is for cricket, Zakir Hussain was for classical music'

As the world of Indian classical music mourns Ustad Zakir Hussain, who died on December 15, few feel the loss as deeply as musician Aditya Kalyanpur.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

When Chay flew to Mumbai

Following their wedding on December 4, actor-couple Naga Chaitanya and Sobhita Dhulipala have opened up about their relationship for the first time.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

Grit in the tail frustrates the hosts, India avoid follow-on

Like in 2021, there was defiance in the damp air of Gabba as Deep and Bumrah steer India towards a likely draw on Day 4

time-read
3 mins  |
December 18, 2024
Hindustan Times Punjab

How the challenge of batting in Oz changed

KOOKABURRA RELEASED A REDESIGNED BALL FOR TESTS IN 2021 THAT WAS SUPPOSED TO MAKE THE GAME MORE EXCITING, BUT IT HAS ONLY MADE BATTING MORE DIFFICULT

time-read
3 mins  |
December 18, 2024
Hindustan Times Punjab

KIWIS CRUSH ENG BY 423 RUNS TO SEND RETIRING SOUTHEE OUT ON A HIGH

New Zealand tore through England's batting on Tuesday to crush the visitors by 423 runs in the third Test and send Tim Southee into retirement on a triumphant note.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

Jhulan Goswami stand: Another historic moment at Eden Gardens

KOLKATA: At 6.58pm on a misty winter evening near the Eden Gardens change rooms, Jhulan Goswami took the stage. And said she was speechless.

time-read
2 mins  |
December 18, 2024
Hindustan Times Punjab

Hayley shines, WI level series with 9-wicket win against India

NEW DELHI: West Indies captain Hayley Matthews led from the front as the visitors levelled the three-match T20I series with a dominant 9-wicket victory over India in the second game at the DY Patil Stadium in Navi Mumbai on Tuesday.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

SMARTPHONE SALES FALL BELOW COVID-ERA HIGHS

India's $40-billion-plus smartphone economy is likely to continue below the demand in the pandemic era, raising concerns around how the market can revive itself.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

GAZA CEASEFIRE TALKS SWIRL AS OFFICIALS PUSH FOR DEAL

Uncertainty surrounded Israeli Prime Minister Benjamin Netanyahu's whereabouts on Tuesday after sources briefed on talks about a Gaza ceasefire said he was travelling to Cairo but his office said he was on the northern border with Syria.

time-read
1 min  |
December 18, 2024
Hindustan Times Punjab

Rebellion hits ruling party as MPs demand Trudeau resignation

TORONTO: Hours after the shock resignation of his second-in-command, Canadian Prime Minister Justin Trudeau was barely clinging on to power even as over a third of the ruling Liberal Party's MPs called for a change in leadership.

time-read
2 mins  |
December 18, 2024