Patients each day remain in hospitals despite being ready for discharge
0
Added costs to an already strained health care system
$0B
Average delay in hospital discharge due to insurance companies
0 Days
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Insurance companies that prioritize profits over patients endanger Californians who need critical health care services.
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Patient Stories
“I recently turned 76 and I suffer from COPD and find myself going to West Anaheim Medical Center at least three times a year. I was told West Anaheim Medical Center may not be able to take CalOptima insurance anymore and that has me extremely scared.”
A 47-year-old homeless woman from Chico was referred by a clinician 43 TIMES to a skilled-nursing facility. She was declined admission 18 times, and 25 times there was no response at all to her transfer request.
“I have been to Garden Grove Hospital many times before. I need to be able to come back because I am unhoused… My 90-year-old grandparents come to Garden Grove Hospital too. It would be very hard for me and for them without … Garden Grove Hospital.”
A woman in Butte County admitted for a hemorrhagic stroke was referred to a skilled nursing facility 48 times and denied every time. This led to her unnecessarily spending 240 days in the hospital.
“I needed to come to Huntington Beach Hospital for an emergency colonoscopy. And I NEED to come back! Where am I supposed to go in a few months when I need to return for checkups? … If you cancel the contract then I don’t know what I will do.”
A 51-year-old Northern California man admitted to the hospital for swelling within his bones needed a higher level of care evaluation — a clinical request that was denied for three straight days.
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62%
of patients say their insurance company makes it harder for them to get health care
2/3
of appealed prior authorization denials are ultimately overturned
1 in 10
Californians wait more than 3 days to be discharged, even after doctors have cleared them
The Coalition to Strengthen America’s Health Care team laid out the facts about who puts patients first – and who prioritizes profits by delaying and denying access to care.
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.
Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers,” Day said.
An ‘impossible situation’: Why California hospitals are suing a major health insurer
Medical insurance delays can keep someone in a hospital bed much longer than they need to be waiting for after-care services like home health care. Those delays can also block hospitals from using beds needed for new patients.