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Started By
Message
re: UNH's UnitedHealth CEO shot and killed
Posted on 12/4/24 at 8:51 am to BottomlandBrew
Posted on 12/4/24 at 8:51 am to BottomlandBrew
quote:
The insurance companies decide daily who lives and dies. Guess it was somebody else's turn to decide who lives or dies.
Sadly, you are probably right on both counts.
0
Posted on 12/4/24 at 8:51 am to HeLeakin
His son is gonna grow up to be the superhero known as Vaxman
Posted on 12/4/24 at 8:51 am to baldona
quote:
Insurance companies have literally 0 to do with hospital issues.
Wrong times infinity. Hospitals can’t clear beds when qualified patients are denied coverage for external facilities for continued care. This causes all sorts of systemic issues.
Posted on 12/4/24 at 8:54 am to LSUfan4444
quote:
They need to be tired of government greed but it's a well designed ruse people continue to fall for.
All of this.
Posted on 12/4/24 at 8:56 am to tiggerthetooth
quote:
These people are also generally not very innovative or interesting but more or less system tinkerers that are extremely adept at the inner workings of our massive administrative state.
For every Zuckerberg there's 10 finance douches that made their hay shorting some random dumb stock.
You make it sound so easy. Why not go out and do it then?
Someone else making money does not make it less possible for you to do so. The pie is not finite. Somehow that mindset has pervaded many in this country and I think it's the new obsession with finding a way to be a victim.
Posted on 12/4/24 at 8:56 am to baldona
quote:
Insurance companies have literally 0 to do with hospital issues.
They are all party to the problem
Our system is so fricking retarded. My vet is somehow capable of pricing a surgery low end to high end and usually land somewhere in the middle or on the low end
My wife’s OB’s billing department was over 100% off where our cost of the c-section was going to be and they had the nerve to want us to pre-pay.
Sure the hospitals cash flow issues are the hospitals part but the insurance companies overly complicated way of doing business demands them to be that way
They don’t want hospitals posting true cost+profit because people will just pay cash
This post was edited on 12/4/24 at 9:24 am
Posted on 12/4/24 at 8:57 am to baldona
Hospitals are meant to break even. Most do not profit because of the number of claims that get denied and eventually do not get paid by the insured. Agreed that government funded healthcare is a problem because they pick and choose what they pay, but they have much lower rates than most private insurance companies.
Posted on 12/4/24 at 8:58 am to BilbeauTBaggins
quote:
Hospitals are meant to break even.
Goodness gracious. I mean...WOW
Posted on 12/4/24 at 8:59 am to metallica81788
(no message)
This post was edited on 5/11/26 at 9:26 pm
Posted on 12/4/24 at 9:02 am to OMLandshark
Just curious if the same people that say that United is too big and powerful also support single payer health insurance.
Posted on 12/4/24 at 9:02 am to Chucktown_Badger
quote:
Somehow that mindset has pervaded many in this country and I think it's the new obsession with finding a way to be a victim.
Been that way for a while now.
Posted on 12/4/24 at 9:04 am to HeLeakin
Vax kills another...when will it end?
Posted on 12/4/24 at 9:06 am to Dragula
That wasn't the vax. That was John Q
Posted on 12/4/24 at 9:06 am to BabysArmHoldingApple
The biggest issue with UHC is their cost to collect on approved procedures. Rarely do they pay correctly according to contracted rates, and it requires three or four reconsiderations in order to correct a claim. Some places don't have the capacity to jump through the hoops over and over and leave funds on the table they're entitled to contractually. Not to mention the insane method of obtaining prior authorization for some services and the constant review of medical necessity through out the process of care where Medical Directors deny service coverages under questionable circumstances requiring peer to peer review. Most MDs just don't have the time to pick up a phone and discuss multiple cases with UHC Medical Directors.
Posted on 12/4/24 at 9:07 am to REG861
quote:
more like refusing to pay for medical care that the insurance company deems unnecessary and/or not covered by the policy. Of course, this is fertile ground for disagreement, especially when the policy holder or a loved one believes that the treatment at issue is required.
When it comes to Medicare advantage, they work in total bad faith and override pre authorizations from actual treating physicians all the time. It’s some bean counter at United who never lays on a patient and says “nah.” They are playing death panel to save a few cents.
One of my classmates who did not match into a residency works for United as a medical review officer. That classmate told me how to get around the problem. Instead of just writing diagnosis X will start medication X in my assessment and plan, I go ahead and list the patient's failed medicines and state that it is medically necessary or in keeping with current guidelines etc. I then attach the guidelines and studies to my note. Is it a pain in the butt? Yes. Did it take a while to compile a list of guidelines and research articles to attach? Yes. However, now that I have it done it only takes about 30 seconds more per chart and my prior authorization approval rate has increased to like 98%. Most of providers especially NPs won't take the time to do that. They just say tried to prescribe medication X but insurance denied and leave it at that.
Posted on 12/4/24 at 9:09 am to HeLeakin
Holy crap
Posted on 12/4/24 at 9:09 am to BilbeauTBaggins
quote:
Hospitals are meant to break even.
WTF?
ETA: When did the idea that healthcare is supposed to be charity become so damn pervasive? Healthcare is an industry just like any other industry.
This post was edited on 12/4/24 at 9:11 am
Posted on 12/4/24 at 9:09 am to LSUfan4444
quote:
They need to be tired of government greed but it's a well designed ruse people continue to fall for.
Yea I’m sure UNH has always tried to make the absolute best decision for their customers and have never tried to maximize profit and shareholder value at every single turn.
Posted on 12/4/24 at 9:10 am to WeeWee
While UH is awful Cigna is worse.
Posted on 12/4/24 at 9:10 am to WeeWee
quote:
They just say tried to prescribe medication X but insurance denied and leave it at that.
They don't check to see if the script was actually written? Isn't this essentially lying to the insurance company?
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