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re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.

Posted on 5/6/24 at 9:10 am to
Posted by WyattDonnelly
Member since Feb 2024
177 posts
Posted on 5/6/24 at 9:10 am to
That’s all BS. Perfectly set up for the “big insurance companies are mean! I want more government involvement in health care!” crowd at election time. And since when do doctors at insurance companies review cases? They don’t. Those are some by regular employees. And pricing and payouts are already decided. They don’t review them one by one and say pay this, don’t pay that, let that person die. That’s the socialist medicine model, not ours. Totally fake article.
Posted by Taxing Authority
Houston
Member since Feb 2010
57357 posts
Posted on 5/6/24 at 9:35 am to
quote:

It's not denying treatment, only coverage. A patient always has the option to receive and pay for treatment that insurance doesnt cover.
Dependency comes at a price. It's not "free". It's their money, and they get to decide how it gets spent. Why is anyone surprised?
Posted by Robin Masters
Birmingham
Member since Jul 2010
29926 posts
Posted on 5/6/24 at 9:51 am to
Insurance companies make money by denying coverage. Other than a bad faith claim from a plaintiffs attorney what motivation do they have to do right by their covered members?

People need to take some of the power back from big business and big government (which is even worse).
Posted by Rick9Plus
Baton Rouge
Member since Jul 2020
1732 posts
Posted on 5/6/24 at 10:55 am to
quote:

People need to take some of the power back from big business and big government (which is even worse).


Right now, we are at the mercy of both. Insurers are driven by profits, since they are businesses. But, these businesses get a lot of their revenue from the government, via partnerships with Medicare and Medicaid. When the govt says jump, they have no choice (ex., Covid mandates.) Same with hospitals and most large medical practices, which are either affiliated with major hospitals, get the majority of their revenue from Medicare and Medicaid plans, or both. We don’t have a true free market healthcare system. If we did, costs would be lower and more people would be able to afford to pay out of pocket, since costs would not be inflated. So basically, our health care is being decided by both. The government and corporate profits. Those of us who pay for private insurance are paying our premiums, our out-of-pocket costs, and for all of the medical care received by the millions who pay nothing for theirs plus the salaries of all the bureaucrats who administer the programs. We are paying the salaries of the Filipino nurses who make the decisions, too, and those salaries are being spent in the Philippines to boost their economy.
Posted by NYNolaguy1
Member since May 2011
20914 posts
Posted on 5/6/24 at 11:02 am to
I wish we had a subscription hospital model in this country instead of catering to crooked insurance companies.
Posted by lsucoonass
shreveport and east texas
Member since Nov 2003
68475 posts
Posted on 5/6/24 at 11:12 am to
These managed care programs suck. Even worse are the managed Medicare programs that fraudulently enroll the elderly in. Their coverage for speech occupational and physical therapy is pure shite
Posted by LSUGrrrl
Frisco, TX
Member since Jul 2007
33186 posts
Posted on 5/6/24 at 11:56 am to
quote:

Insurance should cover whatever a physician or allied health professional recommends. Period. They should have no right to deny. But it’s not medical insurance anymore, it’s managed care.


That would only work in a scenario where doctors and hospitals weren’t for profit and didn’t up charge for treatment.
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