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The Company Helping U.S. Health Insurers Deny Coverage for Treatments
ProPublica 
Oct. 24, 2024 "America's largest insurers hire EviCore to make decisions on whether to pay for care for more than 100 million people.... EviCore uses an algorithm that allows it to adjust the chances that company doctors will screen prior authorization requests, increasing the possibility of denials.... Some EviCore contracts are based on how deeply the company can reduce spending on medical procedures. It tells insurers that it can provide a 3-to-1 return on investment." MORE >> |
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