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The Prior Authorizations Conspiracy: EviCore

Stuff They Don't Want You To Know

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Controversies in Healthcare Contracts

This chapter examines the contentious practices of EviCore's contracts, which often result in increased insurance claim denials and ethical dilemmas within the healthcare system. It discusses the 'sentinel effect' on healthcare providers regarding prior authorization requests, while critiquing the broader implications of private healthcare and insurance practices on patient access. The chapter also reflects on legal controversies involving major insurers like Anthem and Cigna, alongside the significant public reaction surrounding the case of Luigi Mangione, exploring the potential for systemic change in healthcare.

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