What do insurance companies really care about? Are they focused on patient care, or is profit their main concern? How can doctors manage when faced with reduced payments? In this episode, we explore "What Do Insurance Companies Care About? Lessons Every Doctor Must Know"—a must-listen for every physician navigating the frustrating world of health insurance.
At a recent orthopedic event in Las Vegas, I had candid conversations with fellow doctors about the challenges posed by insurance companies, particularly United Healthcare. The question that often came up was, "why is United Healthcare so bad?" Many of you may already be familiar with the headaches caused by United Healthcare denied claims, reimbursement policy changes, and sudden reductions in payments. One doctor shared a particularly troubling experience. He had received an email from United Healthcare, informing him that effective immediately, his reimbursement for a major procedure was being cut by 20%. The procedure had been beneficial to his patients and a significant part of his practice’s revenue, but the cut left him unable to continue offering it. No chance for negotiation, no opportunity for appeal—just a unilateral decision by the insurer.
This isn’t an isolated event. Many doctors across the country are experiencing similar situations where insurance companies dictate medical care through their reimbursement policies. It's not just about UHC claims being denied; it’s about a system that seems designed to prioritize profits over patient care. These medical insurance denials and sudden changes to United Healthcare reimbursement policies leave doctors with fewer options, forcing them to either accept financial losses or stop offering critical procedures. It’s no wonder so many physicians are frustrated with denial in healthcare, particularly when insurers like United Healthcare make sweeping decisions without considering the impact on patient care or medical practices.
The truth is, insurance companies like United Healthcare care more about their financial outcomes than the well-being of patients or the financial stability of doctors. They routinely implement UHC reimbursement policy cuts, approve treatments only to later issue clawbacks, and deny necessary procedures. This leaves doctors in a constant battle, fighting against health insurance denials and trying to provide the best care possible under increasingly difficult circumstances. I’ve even worked with clients who faced multimillion-dollar clawbacks, only to have to navigate complex legal and ethical issues to reduce the damage.
At Mavrix, our mission is clear: to free doctors from the clutches of insurance companies. We believe that there’s no future in continuing to depend on a system that prioritizes profits over patient care. We’ve already helped countless doctors navigate United Healthcare legal and ethical issues, clawbacks, and denied claims, and we’re committed to helping many more. Our goal is to help 100,000 doctors break free from insurance companies by 2033, so they can regain control of their practices and provide the care they’re passionate about.
One of the doctors we’ve helped will be featured in an upcoming interview, where he’ll share his journey from struggling under the weight of United Health reimbursement cuts and denials to running a successful practice that’s no longer reliant on insurance. His story is just one of many, and it’s proof that doctors can regain their autonomy by stepping away from insurance-driven care.
If you’re a doctor tired of fighting insurance companies dictating medical care and want to reclaim your freedom, now is the time to act. Whether you're dealing with United medical insurance denials, battling unexpected clawbacks, or struggling with ever-changing reimbursement policies, Mavrix can help you find a path forward. We’ve guided doctors through millions of dollars in clawbacks and taught them how to break free from the traditional insurance system. We can help you do the same.