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Message
re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.
Posted on 5/6/24 at 7:15 am to soccerfüt
Posted on 5/6/24 at 7:15 am to soccerfüt
quote:
None of us here (from reading a biased article) know if this is valid or not.
Don’t know about the length of time part, but the insurance physician regularly declining necessary procedures occurs regularly (my wife deals with them often).
1
Posted on 5/6/24 at 7:18 am to whodatdude
quote:
the insurance physician regularly declining necessary procedures occurs regularly
Insurance companies review these requests against standard criteria. There are times that requests do not fall within that determined criteria which requires a medical director's review and that's what is being described in the article. When it's reviewed there is alot that is factored in and it differs from patient to patient. Are there cases denied that should have been approved, sure. There are also plenty plenty plenty plenty plenty plenty more that are approved and offer zero improvement or improved health outcomes.
The US healthcare system and the reimbursement system used isthe most wasteful healthcare system in the world.
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