Health insurance industry PR is working overtime right now diverting blame to physicians for claim denials and rising costs. I feel compelled to remind everybody that Optum (UHC) is the largest employer of physicians in the US. We have never had less power in healthcare than we do right now.
Comments
What the everloving fuck! Optum, this is for you:
Also, you are so right, it's NOT right working people like that.
https://pnhp.org/
Me: “patient has esthesioneuroblastoma”
Insurance MD: “can you spell that?”
Me: “if I have to spell it, why do you get to tell me what appropriate care is?”
They had me wait on hold to talk to what they called their "doctor" I answered all his questions. It was denied until my doctor sent the same exact info to the insurance company
I offer these ideas in hopes someone smarter than me can come up with something better
https://bsky.app/profile/jn117.bsky.social/post/3lcxyqckfyc2v
I have only ever heard of Dr’s begging insurance companies to approve treatment they’ve already prescribed, and never heard of doctors being the obstacle to getting care approved
will argue with its relevance to the specific post since if insurance doesn’t have the chance to pay for treatment, there is no claim to be denied and thus no one to blame for the denial
The bias of the medical establishment towards minorities and women, especially WOC is a whole other massive singular problem. :(
Also, the FTC has an Open Commission hearing on Jan 14. Written and video statements are due by tomorrow (Jan 10) at 8pm EST. The FTC is investigating PBM.
https://www.ftc.gov/speaker-registration-and-public-comment-submission-form-open-commission-meeting-01-14-25
Physicians are not the issue
That’s how insurance companies blame doctors
notably there not a single telehealth grief counselor in the US that was approved for them, it was pay out of pocket or GTFO
to the staff
in 2020
Heh, it ain't the doctors that are the problem.
No sane person thinks that.
Also, the FTC has an Open Commission hearing on Jan 14. Written and video statements are due by tomorrow (Jan 10) at 8pm EST. The FTC is investigating PBM.
https://www.ftc.gov/speaker-registration-and-public-comment-submission-form-open-commission-meeting-01-14-25
Collective board members.... "OH MY GOD WE'RE ALL GOING TO GET SHOT".
Media savvy board member... "OR....We can use the media to blame the doctors so the doctors get shot instead".
Collective board members... "OMG you're a genius why didn't we think of that".....
And at that point, everything works
I just wonder how many people I am responsible for putting in precarious financial positions if not bankruptcy with my decisions. Which hardly ever get refuted by patients. Cuz, y'know they want to get better...
Step one: uniformity of clinic supplies/processes
Step two: all my efforts were blocked by an MA who was part of the startup team
Step three: I resign my post.
And removing the artificial state oversight prerogative, other than perfunctory administrative tasks.
Voting hasn’t “fixed” healthcare in Canada, it can make it worse tho.
People need to organize (safe and legal) actions to improve HC, imo.
Both parties are playing the "restricting supply" game for profit, pretending the other started it while consumers get hosed.
It is the exact opposite, as ACGME restricts residencies. There are annually fewer residency positions than MD grads, let alone foreign professionals who need them.
If residency were enough of a deterrent, hospitals would have difficulty filling residency spots. They might even make it less miserable to attract applicants.
State licensure is subject to... lobbying from physician groups.
It also assumes that AMA and its members 1) are distinct and 2) have no say with LCME or ACGME which is disingenuous at best.
Nor does one involve doctors taking on six figures of medical debt and being individually compensated 5-10 times the average household income.
https://www.openhealthpolicy.com/p/medical-residency-slots-congress
They would love more public funding pumped into the system though.
By the end of pharmacy school I knew systemic inertia would shut that down. They're really just puppeting licenseholders to uphold the system.
Over 40% of that went to UnitedHealth Group
https://jacobin.com/2024/12/health-insurance-profits-unitedhealthcare-aca
What the everloving fuck?
Parasites! They're all a bunch of parasites!
Augh!
I have to log off now.
Interest? Interest? They get to profit off the interest?
Gonna lose it now! Augh!
Oh, and patients shouldn’t linger into old age. They need to die before they get expensive.
And both elderly and female? Well, they’re not having kids, so why are they hanging around?
https://bsky.app/profile/propublica.org/post/3lejlm3pvtd22
It's been tough, I feel like a collaborator, and the internal corporate propaganda has been infuriating.
Prior I worked in oil and gas services for 7. And a number of different companies between.
Both were disgusting. At least I felt pipeline inspection (no blow-ups) and clearinghouse operations were less harmful.