Economy

But the Cigna review system that blocked van Terheyden’s claim bypasses those steps. Medical directors do not see any patient records or put their medical judgment to use, said former company employees familiar with the system. Instead, a computer does the work. A Cigna algorithm flags mismatches between diagnoses and what the company considers... See more

Almost anyone can tell you the cost of living has increased between the onset of the pandemic and today. Implying anything else is, as my younger colleagues would say, legit gaslighting, or at least missing the point. Now, in recent months, headline after headline proclaims “inflation has cooled.” But does that mean we are out of the water?

This... See more

The fact that many American companies are paying paltry wages to workers while lavishing cash on top executives and investors is no happenstance. It's a policy choice. In the United States we have a tax and regulatory environment that rewards that behavior. We can decide to maintain the status quo or change it.

Blue Cross and Blue Shield began as nonprofits that insured all comers. But as big profit-seeking insurers targeted younger and healthier people, the Blues were left to insure the older and less healthy, which made it impossible for them to continue. They turned to making money. Now, private equity runs hospitals, into the ground.