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Tuesday, April 22, 2025

'Outrageous': Whistleblower highlights concerns over health insurance, patient billing - News 5 Cleveland WEWS

A health insurance whistleblower told News 5 Investigators what health insurance companies are getting away with is “outrageous.

A health insurance whistleblower told News 5 Investigators what health insurance companies are getting away with is “outrageous.” In this “Cost of Coverage” report, you’ll hear what he said about how the industry works.

You’ll learn from an expert what you should do when you face insurance problems, and what health insurance industry representatives have to say about the criticism.

“I’m in pain daily. It’s not horrible, but it’s wearing me out after three years,” said Dave Cunningham, 60, from Norton. He’s been suffering from digestive problems.

He said getting insurance on the Affordable Care Act or ObamaCare Marketplace is frustrating, especially with the two health insurers he bought into. “I was told I was buying one product and when I went to use it, I had another and it was very subpar,” said Cunningham.

He told us it was difficult to understand the 139 plans offered, with their many different premiums, co-pays, and deductibles. Then, he found out the insurance he did purchase wasn’t helpful.

“Why? Just to confuse it, to muddy the waters?” said Cunningham. “To make money, it’s got to be to make money. There’s got to be money at the end of the rainbow. That’s what’s going on.”

“Reward their shareholders. That is what is most important to these companies,” said Wendell Potter who worked as a health insurance executive for a major company. He...



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