As millions of Americans celebrated @potus's inauguration, some of my former colleagues in the health insurance industry were quietly celebrating some news of their own: their *most profitable year ever*. That’s right: insurance companies made a fortune during a pandemic. (1/11)
Just hours before @joebiden took the oath of office, UnitedHealthcare quietly released the news that it had blown away Wall Street's most optimistic profit expectations for 2020, the year of the worst public health crisis in our lifetime that’s seen 400,000 Americans die. (2/11)
The company reported that although it insured fewer people in the US in 2020 than in 2019, it took in $15 billion more in revenues. One of the ways it was able to pull that off? By paying far fewer claims last year than the year before. Again, this was during a pandemic. (3/11)
Had it not been for membership gains in its Medicare Advantage & Medicaid plans, UnitedHealth would've hemorrhaged even more health plan enrollees. In fact, it covered 1.5M fewer in individual & employer-sponsored/group plans than in '19 but made BILLIONS more in profits. (4/11)
One reason for the drop in health plan enrollment: millions lost health insurance with their jobs during #COVID19. That isn't a problem for Big Insurance. I hope @potus pays close attention to how UnitedHealth & others have made huge profits since the ACA was passed. (5/11)
Mr. President, you called it a “big f*king deal” when President Obama signed the ACA into law. It brought insurance to 20 million of the 50 million Americans uninsured at the time & made it illegal for insurers to deny coverage to people with preexisting conditions. But... (6/11)
Insurance lobbyists rigged the bill in ways that guaranteed huge profits for years to come. Consider this: when you were sworn in as VP in 2009 you could’ve bought a share of UnitedHealth stock for $21.55. When you became president yesterday, that share would cost $350.84. (7/11)
No wonder Wall Street loves UnitedHealth & other big health insurers so much. UnitedHealth's shares alone have increased 1650% over the past 12 years. How much have American wages increased in that time? Not much. How much have their premiums increased? A lot. (8/11)
Meanwhile, tens of millions are still uninsured. Even more are "underinsured" because of absurdly high deductibles insurers charge us before they’ll pay a dime. That's why so many of us WITH INSURANCE go bankrupt or turn to GoFundMe to beg for money to pay medical bills. (9/11)
Get this: UnitedHealth now makes more than two times as much from government programs like Medicare Advantage & Medicaid, than from its "commercial" customers. Most of its revenue BY FAR is coming from taxpayers than their corporate & individual customers. (10/11)
Mr. President, to help people get the care their doctors say they need, investigate this industry & take action to put an end to this outrageous profiteering. We taxpayers are being taken to the cleaners by these companies. I know because I worked for them.
 
Let’s talk. (END.)

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More from @wendellpotter

13 Jan
There’s been a lot of talk lately about big corporations (eg, Amazon, Verizon, Comcast, etc) deciding to stop giving $ to House & Senate Republicans who voted to overturn @JoeBiden’s election. Guess which giants aren't on that list? America's big for-profit health insurers. (1/8)
Over the past 2 election cycles, Big Insurance has donated to just about all the 147 House & Senate Republicans who voted against certifying the election. That includes Cigna & Humana, where I once worked, and Centene & CVS/Aetna. Plus the industry's lobbying group, AHIP. (2/8)
The Blue Cross Blue Shield Association, which represents a lot of nonprofit insurers & for-profit Anthem, says it’s suspending donations to those Republicans. And UnitedHealth says it will “pause” its political donations. But let’s see how long these “pauses” actually last. (3/8)
Read 8 tweets
29 Dec 20
As a former health insurance exec, I can tell you my old colleagues are gearing up for the mother of all propaganda campaigns to keep @JoeBiden & Congress from enacting a public option (or any reform for that matter). Don’t believe me? Let's take a trip down memory lane... (1/7)
When I was an insurance industry spin doctor, I helped plan & execute the playbook to keep much-needed reforms from seeing the light of day. The playbook is old, but it works like new. In the 1990s, we kept the Clinton reform plan from even getting a final vote in Congress. (2/7)
Our disinformation campaign weaponized terms like “government-run healthcare” & “socialized medicine” to scare Americans about the Clinton plan. In 2001, we deployed similar tactics to kill the bipartisan Patients' Bill of Rights Act. (3/7)
Read 7 tweets
22 Dec 20
Many are asking my view on the “surprise billing” fix that Congress passed last night. There are many details to review, but put it this way: The stock price of most of the big insurers dropped big-time yesterday. If their shareholders are upset, that's good news! (1/7)
As a former health insurance exec, I know my old colleagues & Wall Street worked hard to make sure this legislation boosted their bottom line. But it appears lawmakers changed it just enough at the last minute to dash the insurers’ hopes of windfall profits. Here’s how: (2/7)
If a previous version of this bill had passed, it would have let insurers slash payment to thousands of doctors in independent practice. This would have sent more physician practices into the arms of big hospital systems. How would this affect patients & consumers? Read on. (3/7)
Read 7 tweets
15 Oct 20
Judge Barrett says she'd base rulings about health insurance on how "the founders" might have intended. This might make sense if health insurance companies actually existed then. As a former insurance exec, here's why her approach is laughable when it comes to healthcare: (1/10)
A huge part of the ACA is the rule that bars insurance companies from dumping Americans with "preexisting conditions." Well, in 1787, our founders were not thinking about this. Why? The term didn't exist yet, and neither did the insurance companies to refuse to cover them. (2/10)
My old company, Cigna, started in 1792, but wouldn't get into health insurance until the 1900s. Ben Franklin was one of the founders - but Ben knew little about health insurance. Why? In his day, the company insured ships & later got into the fire insurance business.  (3/10)
Read 10 tweets
2 Oct 20
Here’s an interesting irony: Everyone around Trump who gets #COVID19 may be in big trouble if they get their wish & gut Obamacare. Why? In the future, COVID will likely be classified by private insurers as a pre-existing condition. I'd know - I used to be an insurance exec. (1/8)
I sincerely hope & pray the President, First Lady & those around them who've contracted COVID get well. I hope & pray the same for all people, here & around the world. Now here's my concern about what they're doing to Obamacare & how it will affect those with COVID: (2/8)
I know firsthand that before the ACA, insurers kept a list of 400+ conditions they used to either reject applicants, or charge them more than they could afford to pay for coverage. If I were Hope Hicks, I might be concerned that my boss wants to go back to that system. (3/8)
Read 8 tweets
28 Sep 20
For the first @realDonaldTrump and @JoeBiden debate tomorrow, we asked 3,200 business leaders at @BusinessM4A what they wanted to hear from the 2 candidates. What they said will probably stun the political & media establishment (1/9)
Businesses are worried. They don't see a federal plan to defeat #COVID19. Many remain partially shut down from the pandemic. They've laid off or furloughed workers while still paying for health insurance. Many are broke-or almost there (2/9)
They're desperate for leadership, solutions & answers. They want to know about the PLANS to fight #COVID19, fix our broken health care system & restart an economy that is mired in high unemployment, low wages & workers without health care (3/9)
Read 9 tweets

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