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Started By
Message
re: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly.
Posted on 5/6/24 at 5:50 am to Eurocat
Posted on 5/6/24 at 5:50 am to Eurocat
Insurance companies can be a Bain to societies. The only time an insurance should be allowed to deny treatment is if they believe it to be fraudulent.
3
Posted on 5/6/24 at 6:14 am to TigerFanatic99
quote:
insurance should be allowed to deny treatment
It's not denying treatment, only coverage. A patient always has the option to receive and pay for treatment that insurance doesnt cover.
Posted on 5/6/24 at 6:35 am to TigerFanatic99
quote:
Insurance companies can be a Bain to societies. The only time an insurance should be allowed to deny treatment is if they believe it to be fraudulent.
A guy gets hurt at work, twists an ankle pretty bad. Goes to the hospital to get it checked out, make sure it isn't broken. Diagnosed as a bad sprain. Doctor writes him a script for crutches, a walking boot, Viagra for his ED, and a splint for his finger that has been giving him problems after injuring it at home. The hospital submits the bills to his work comp insurance company and the Viagra and the finger splint are denied. You think that should be approved? It's not fraud, but absolutely should be denied.
Posted on 5/6/24 at 6:52 am to TigerFanatic99
Fraud, unnecessary treatment, and valid treatment are a fine line… so you have to hire Doctors to make a call which is what Cigna did here. Problem seems to be likely they prioritized speed over quality.
This post was edited on 5/6/24 at 6:58 am
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