T. Christian Miller

Investigative reporters T. Christian Miller and Patrick Rucker expose the profit-driven motives of health insurance companies that often result in denied medical claims, even for life-saving procedures. They discuss how these denial practices are rooted in complex dynamics with prior authorization processes and reveal chilling individual cases that highlight the dangers of prioritizing profits over patient care. The reporters call for accountability and reform in a system that allows such unethical practices to flourish.

T. Christian Miller, a ProPublica reporter, discusses his investigation into EviCore's controversial algorithm that determines health insurance claim approvals. He reveals how adjustments to this algorithm prioritize cost savings over patient care, resulting in increased claim denials. The conversation highlights the devastating impact of algorithmic decisions on real patients, showcasing the dangerous implications of automated systems in healthcare. Miller raises alarm over the potential conflicts of interest in the system that can lead to life-threatening delays for individuals in need of care.