‘Not medically necessary': Inside the company helping America's biggest health insurers deny coverage for care [CNN]
Elevance Health, Inc. (ELV)
Company Research
Source: CNN
Sign up to receive its biggest stories as soon as they're published. Every day, patients across America crack open envelopes with bad news. Yet another health insurer has decided not to pay for a treatment that their doctor has recommended. Sometimes it's a no for an MRI for a high school wrestler with a strained back. Sometimes for a cancer procedure that will help a grandmother with a throat tumor. Sometimes for a heart scan for a truck driver feeling short of breath. But the insurance companies don't always make these decisions. Instead, they often outsource medical reviews to a largely hidden industry that makes money by turning down doctors' requests for payments, known as prior authorizations. Call it the denials for dollars business. The biggest player is a company called EviCore by Evernorth, which is hired by major American insurance companies and provides coverage to 100 million consumers — about 1 in 3 insured people. It is owned by the insurance giant Cigna. Ad Fee
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ELV
News
- Award-Winning Advocacy: AAFA Campaigns Earn Recognition for Social Impact [Yahoo! Finance]Yahoo! Finance
- Investors Will Want Elevance Health's (NYSE:ELV) Growth In ROCE To Persist [Yahoo! Finance]Yahoo! Finance
- OPEN MINDS & Qualifacts Partner on Data Innovation Masterclass Live on December 4 [Yahoo! Finance]Yahoo! Finance
- Elevance Health, Inc. Shareholders are Encouraged to Reach Out to Johnson Fistel for More Information about Potentially Recovering Their LossesGlobeNewswire
- Insiders At Elevance Health Sold US$12m In Stock, Alluding To Potential Weakness [Yahoo! Finance]Yahoo! Finance
ELV
Earnings
- 10/17/24 - Miss
ELV
Sec Filings
- 11/14/24 - Form SC
- 11/5/24 - Form 4
- 11/5/24 - Form 4
- ELV's page on the SEC website