I work in healthcare.
The notion that “no one should come between me and my doctor” is a fantasy.
Insurance companies hold the purse strings regarding everything a hospital or doctor can do for their patients.
Care is often withheld on the basis of coverage.

But I don’t think that this is entirely the fault of insurance companies.
Hospital organizations have been hiking costs for years and the payers have been forced to scrutinize their payments and coverages.

I know someone who had a rare condition that caused very high blood pressure in the brain--to the point where some of her brain matter protruded into the sinus cavities and she had brain fluid draining down her throat.

The insurance company refused to cover the three operations she needed. The couple are of modest means. Efforts to submit further medical evidence were met with stoney silence. The published phone number was never answered.

Finally, the woman's husband found out the president of the insurance company would be at a certain insurance convention on a certain date. The angry husband flew to the site and confronted the president, who repeatedly tried to brush him off.

Finally, the exasperated young man said five words that opened the gates--got his wife's surgeries covered, an attentive claims manager, and prompt reimbursement.

The five words young man said were:

"I know where you live."

May be this the future!

Getting results when the stupid government won’t!

I know someone who once worked in the "refusal" department of a heath insurance company, idly wondered if there would be a comment from experience on the situation. Nope.

Tasunkawitko once said in this forum "...care plans do not write themselves..." in the midst of one of these discussions about health care costs. There are expenses that we as customers don't see, but the accountants do.

I vividly remember the "silver stallion" from the old days, and when I heard that one of the health insurance companies would not pay for propofol at colonoscopies, I shuddered.

There is more that I'm tempted to write, but it's a sunny Saturday and I have stuff to do...

quote:

Originally posted by lavaca:
Wymple,

Are you justifying killing a CEO? Sounds like it. And that's just so wrong.

No wonder you can twist trump's lies to your liking. I never came close to any such thing

quote:

Originally posted by wymple:
CEOs do make policy, & that policy can certainly be delay/deny wherever they can.

tell me you've never even met an actual CEO without telling me you never.....

tell me you've never worked, in leadership, of a major corp without telling me you never ....

no, fry cook at waffle house doesn't count

United Healthcare has a market cap of $500B.
United Healthcare has a claim denial rate of 32%

Seems to me that UH is in the business of making money rather than equitably serving its policy holders.

The C-suite is most definitely promoting this business model. They are "directing" the company, aren't they?

quote:

United Healthcare has a claim denial rate of 32%

That's insane.

I suspect all the 'health care' companies are similar.

quote:

Originally posted by Aspen Hill Adventures:

quote:

United Healthcare has a claim denial rate of 32%

That's insane.

I suspect all the 'health care' companies are similar.

Unfortunately not Ann.
United is roughly twice the rate of average.
Many say their denial rate went hand in hand with the implementation of using AI generated algorithms to determine coverage.

quote:

Originally posted by Huvius:
United Healthcare has a market cap of $500B.
United Healthcare has a claim denial rate of 32%

Seems to me that UH is in the business of making money rather than equitably serving its policy holders.

The C-suite is most definitely promoting this business model. They are "directing" the company, aren't they?

But Jeffy thinks the CEO doesn't control any of this. The buck stops somewhere else.

quote:

Originally posted by Huvius:
United Healthcare has a market cap of $500B.
United Healthcare has a claim denial rate of 32%

Seems to me that UH is in the business of making money rather than equitably serving its policy holders.

The C-suite is most definitely promoting this business model. They are "directing" the company, aren't they?

A strong CEO with a weak board is all it takes. I'm aware of several like that here locally and regionally.

The NRA is a great recent example.

I wonder how much this shitshow has cost the NYC taxpayers.

An opinion with video on the type of weapon used.

Watch: Firearms Collector Believes UnitedHealthcare CEO's Killer Didn't Use Welrod Pistol

quote:

Originally posted by Aspen Hill Adventures:
An opinion with video on the type of weapon used.

Watch: Firearms Collector Believes UnitedHealthcare CEO's Killer Didn't Use Welrod Pistol

Looks like they have their man.

https://www.aol.com/police-que...a-ceo-164500918.html

Remember the expert who did the shot sound distance analysis to try to locate the source of the shot/s during the trump assignation attempt? What a fucked up fiasco that turned out to be. Totally wrong.

https://www.msn.com/en-us/news...45578ab91c9cb&ei=154

Valedictorian and Ivy League graduate named as person of interest in New York City CEO killing

Now just watch and see the grand circus that is going to be going on because he killed a high powered individual.

The normal, daily murderers who kill normal people out of the blue in New York hardly get a mention, and normally get a slap on the rest!

He's going down, Saeed.

But the secondary attention will be on the health care national farce.

Bad things can be good for some things in long run
Definitely puts spotlight on health insurance practices and hopefully on Obama care as well
On the other hand, medical care is frigging expensive for reason…we all wanna live long time and somewhat in good health and that brings lots of expensive technology and drugs to keep us upright and that costs shit load of money

https://x.com/hueyjacknation/s...554646749467048?s=46

Not saying any of it true but worth the read.

Dr. Easter, “I am going to endorse the most outrageous and stupid statements, but I not saying it is true.”

I am just passing said ridiculous allegations among with my name attached to it because.

Ann likes to use the same approach. I am spreading bullshit with a fertilizer spreader but I don't necessarily believe it. Just laying the bullshit out there for those that might like bullshit. I think they feel intellectually conflicted. In their heart, they love the bullshit. In their head, they realize that the bullshit is so goofy that it makes them look like the real bullshit is what is between their ears.

quote:

Originally posted by MJines:
Ann likes to use the same approach. I am spreading bullshit with a fertilizer spreader but I don't necessarily believe it. Just laying the bullshit out there for those that might like bullshit. I think they feel intellectually conflicted. In their heart, they love the bullshit. In their head, they realize that the bullshit is so goofy that it makes them look like the real bullshit is what is between their ears.

My 'fertilizer' sure fuels your brain. All I can do is laugh at your insanity.

There were a lot of facts in the X post I shared. It’s the connection of those facts which is questionable. Coincidence? Maybe? It was an interesting read. If you don’t like it…don’t read it. Outrageous? Nah. It was plausible.

Some people think the two .22 shorts that Seth Rich got walking home was a robbery too…even though he carrying a pocket full of 100 dollar bills still on his person.

This case is a tragedy across the board. First, for the Thompson family. They lost a husband, father and bread-winner.

And for the Magione family as well. A coddled, privileged, advantaged, child grew up to be a cold-blooded murderer who picked the Unibombmr as a role model. Little doubt he did it given the evidence thus far and his outbursts. I'm sure they are sorely embarrassed.

And, America lost. When people speak up for Magione, like AOC and Elizabeth Warren, and people in general, we all lose. All those that speak in support of what he almost certainly did should be investigated.

quote:

All those that speak in support of what he almost certainly did should be investigated.

You really don't like America's freedoms, do you?

I've noticed that when you don't like what someone says, you want them investigated. Not here, comrade.

I don't support people who support committing or encouraging murder for a cause. That's not a First Amendment Right.

Completely unremarkable. People hate insurance companies because insurance companies suck. Maybe the C-suite folks with the health insurance companies need to engage in a little introspection. There is the silver lining in this cloud.

I'm a huge advocate of the Constitution. However, the First Amendment does not protect speech that advocates killing innocent people. And for those that say executives of healthcare insurance companies are not "innocent" and should be fair game to be murdered, those people should be investigated.

If you disagree with the health care system, you can say so, you just can't kill, or encourage others to kill, the people you disapprove of.

And, those who advocate or support violence should realize that any investigation should extend to all of their associates and family.

You're nuts.

Maybe we should give rewards for reporting our relatives and neighbors.

quote:

Originally posted by lavaca:
I don't support people who support committing or encouraging murder for a cause. That's not a First Amendment Right.

I am not really sure that anyone supports such actions.

But we need to look at the other side of the coin.

Why are law makers turning a blind eye to atrocious behavior by insurance companies?

Did you see the other insurance company that backtracked on their decision not to pay for anesthesia if the operation takes more than a certain number of minutes?

Who in his right mind would EVER think of this?

Well if we are going to cull rejects I have one for your consideration. Plaintiff’s attorney talks decedents spouse out of a substantial settlement that would have protected her and the decedents young kids because plaintiffs attorney wanted a big jury verdict to advertise his moving into a new type of plaintiff litigation. As you can guess jury returned a defense verdict.

If we are going to support removing bad people like this kid did. Who of you will remain when the dust settles?

quote:

Originally posted by Saeed:
Did you see the other insurance company that backtracked on their decision not to pay for anesthesia if the operation takes more than a certain number of minutes?

Who in his right mind would EVER think of this?

Kaiser doesn't like to keep a patient under anesthesia too long. When I had hernias fixed, they did three of five and left the other two for another time. They budgeted the time and did what fit the window. I don't have a problem with that.

I would have a problem with an insurance company I've heard of that won't pay for colonoscopy anesthesia.
They can shove that where the sun doesn't shine.

quote:

I am not really sure that anyone supports such actions.

Watch the news…it is obvious that some do.

I'm not nuts, but I think others are. People who support killing people who they disagree with should be investigated to make sure they don't commit a crime similar to what happened in NYC. By investigating all their associates, employers, and family members, you not only discover fellow conspirators, but you discourage people from supporting or encouraging similar acts and ostracize people who support such actions.

quote:

Originally posted by M.Shy:
Bad things can be good for some things in long run
Definitely puts spotlight on health insurance practices and hopefully on Obama care as well
On the other hand, medical care is frigging expensive for reason…we all wanna live long time and somewhat in good health and that brings lots of expensive technology and drugs to keep us upright and that costs shit load of money

Healthcare costs in the US, compared to other countries, are the most expensive by a considerable margin, yet, when it comes to life expectancy, the US is nowhere near the top. Something goes wrong...

quote:

Originally posted by ledvm:

quote:

I am not really sure that anyone supports such actions.

Watch the news…it is obvious that some do.

Yes. Kyle Rittenhouse is a right wing hero. trump stated he could shoot somebody in the face on 5th Ave, remember? Seeds get planted constantly, sometimes they grow.

quote:

Originally posted by lavaca:
I'm not nuts, but I think others are. People who support killing people who they disagree with should be investigated to make sure they don't commit a crime similar to what happened in NYC. By investigating all their associates, employers, and family members, you not only discover fellow conspirators, but you discourage people from supporting or encouraging similar acts and ostracize people who support such actions.

They have enough to do investigating the ones who actually do murder someone.

I think people who support Derek Chauvin's actions should be investigated.

A shitload of gaslighting

https://www.msn.com/en-us/heal...3fbe6bcc4d2694&ei=80