CareCore National: Providing Cover for Your Health Insurer

Bet you never heard of CareCore National. You will one day soon, when your doctor sends you for an MRI or recommends a course of radiation or chemotherapy for a cancer, and CareCore sends you a letter (on behalf of your friendly health  insurance company) refusing to allow you the health care service your doctor recommends.

Their slogan? Evidence Based Specialty Benefit Management.

In other words, Care Core National is in the business of denying coverage. Just read carefully the company’s own description of itself:

CareCore National, a specialty benefit management company, manages quality and utilization of outpatient diagnostic and cardiac imaging, cardiac implantable devices, oncology drugs and therapeutic agents, radiation therapy, sleep, pain and lab services. With a comprehensive and diverse portfolio of offerings, we provide seamless solutions to health plans that seek to manage these specialty health care segments more effectively. – from their company history webpage

And why do we know you’ll be hearing about them soon enough if you haven’t run up against them already? Because, to quote their own propaganda, they “currently manage more than 30 million lives. [Their] clients include some of America’s most well-known, trusted health plans.”

Soon, if they don’t already, they will “manage” your life too.

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