Are commercial payers too big to fail? Do they operate with the sense of infallibility? Case in point: UnitedHealthcare Group, which according to its earnings report, posted $4.1 billion in profits in the fourth quarter of 2021. Is the playing field level between payers and providers? For example, during the review of rejected claims does UnitedHealthcare or any private company such as this have advantages over a healthcare provider compared to what it would be if they were using the regular administrative law judge process? During the next live edition of Monitor Mondays RACmonitor investigative reporter Edward M. Roche returns to the broadcast to discuss the rights of providers in the two different appeals processes.
Other segments will include these instantly recognizable broadcast segments: