A CodeBlue survey of 855 specialists in private hospitals in Malaysia reveals serious problems when patients try to access health insurance coverage. Clinicians report excessive insurer/TPA interference with their clinical decision-making, citing widespread denials and delays.
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Over two-thirds of specialists polled in our survey report insurers revoking GLs after admission or treatment. Over half report insurance denials of various medicines, including branded drugs. Read more: https://t.co/2K1jjtcKF7
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83% of specialists in our poll find that health insurance claims officers barely understand diagnosis/treatment. Nearly 3 in 4 say health insurers always or usually ask them irrelevant questions. Read more: https://t.co/2K1jjtcKF7
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Half of specialists polled spend 2-5 hours a week on average on health insurance paperwork for their patients. Read more: https://t.co/2K1jjtcKF7
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Profile of the 855 specialists who participated in CodeBlue's survey on health insurance problems: - All major specialties responded (general surgery most common) - More than half have over a decade's experience in private practice - Over half in KL/Selangor - Nearly
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