United Health CEO Andrew Witty says they will continue to prevent "unnecessary care"

Jesus H. Christ

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So are you going to be the next "Adjuster"? If you want all of this bloodshed and terror then are you going to do some of it yourself or are you going to keep posting about it, hoping someone else will have the courage you do not?
Here's a cookie 🍪 to the "look at me sitting on my high horse" head ass :unimpressed:
 

Prodyson

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You're not actually wrong, but the problem is that it's ENTIRELY subjective and refers to 'doing too much for no clinical/scientific benefit to the patient' from what I've been able to find.​
This isn’t true. My wife used to work in utilization review which is specifically reviewing cases and determining if the care is “medically necessary.”

Some things are subjective but everything at its foundation is supposed to be based on codified guidelines. But, the more complex it is the more subjective it becomes. If you got someone like my wife you were probably lucky because she’d actively look for what they call “justifications” for care even if it was a gray area

With that said, you’d be surprised at how many cases get sent back or denied just because someone didn’t do their job. They’re sending over stuff with missing pertinent medical files or information, no description of the issue, etc. And the patient has no clue why their stuff isn’t getting pushed through, even when it obviously should be covered
 
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bnew

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1/28
Courtney Milan

So, please don’t attack this guy, who is correct in his statement: the ACA does in fact have a medical loss ratio provision, and it came into force in 2012. I want to use this as a jumping off point for two very related things.

2/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

1) The ACA radically needs to be shored up because it does not do what it is intended

2) United Healthcare is evil, and purposefully so.

3/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

Let’s imagine that you’re the CEO of United, this rule is passed in 2010, and it’s going to come into effect in 2012. Do you say “ah, I guess it’s time to figure out how to comply with this and make health care a more affordable place?”

That’s what people hoped and expected might happen.

4/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

But this is why you aren’t the CEO of United Health. United had a better idea. The rule is that you have to spend 80% on medical care, which includes pharmaceutical benefits.

What if you created a separate entity which WAS your pharmacy?

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5/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

And what if that separate entity could charge you whatever you needed it to so that you were spending 80% on those pharmacy benefits? And what if you then just didn’t negotiate with your entity for good pricing, and instead, just used it as a massive profit center?

6/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

That is what United did.

Since then, United has enthusiastically purchased doctor groups, hospitals, and other entities with whom it contracts so that it can soberly say “yes, I meet the 80/20 rule” while collecting the profits on the medical side of the equation.

7/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

Remember the hack on Change Healthcare a while back? How small offices couldn’t get reimbursement from United and were threatening to go under?

Remember how United very “kindly” offered to “purchase” many of those small offices to help them stay running?

8/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

United is fukking evil. Evil to their bones.

If you hate health insurance, you hate this guy. It you don’t hate health insurance, I envy you; you’re one of the lucky ones.

9/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

I’m not saying this guy deserved to be assassinated. He didn’t.

He deserved to be tried by a jury of his peers, fined all of his money, and to be put in jail for a very long ass time for antitrust law violations as well as the medical murder and suffering of far too many.

10/28
‪Courtney Milan‬ ‪@courtneymilan.com‬

And we deserve to have a government that will actually rein in this kind of evil, instead of celebrating that the line went up on the backs of those who went bankrupt or died because United took their money and didn’t give them what they needed.

11/28
‪dmark‬ ‪@dmark.bsky.social‬

The bottom line (to coin a phrase) is that health care insurance companies provide exactly one service: To skim billions of dollars from the medical needs of Americans. They provide zero medical care for anyone.
Get rid of them all and run the healthcare system like 90% of the rest of the world.

12/28
‪Lisa Hirsch‬ ‪@lisairontongue.bsky.social‬

A great and informative thread, thank you.

My first thought about the murder was "look for someone who has suffered or had a loved one suffer from UH policies; alternatively, and possibly more likely, a disgruntled current or former employee."

13/28
‪Heidi (she/her)‬ ‪@hortusdeliciarum.bsky.social‬

But does that actually narrow down the pool, is the real question...

14/28
‪Lisa Hirsch‬ ‪@lisairontongue.bsky.social‬

Nope.

15/28
‪𝙴𝚞𝚋𝚒𝚎 𝙳𝚛𝚎𝚠 (𝑲𝒂𝒌𝒊𝒔𝒕𝒐𝒄𝒓𝒂𝒕)‬ ‪@eubiedrew.bsky.social‬

My personal experience working for a smaller, but still very large, healthcare company.
𝙴𝚞𝚋𝚒𝚎 𝙳𝚛𝚎𝚠 (𝑲𝒂𝒌𝒊𝒔𝒕𝒐𝒄𝒓𝒂𝒕) (@eubiedrew.bsky.social)

16/28
‪𝙴𝚞𝚋𝚒𝚎 𝙳𝚛𝚎𝚠 (𝑲𝒂𝒌𝒊𝒔𝒕𝒐𝒄𝒓𝒂𝒕)‬ ‪@eubiedrew.bsky.social‬

At the end of the above thread I complained about not being reposted, but foolishly tagged people. That was inconsiderate & the tags have been removed.

Do remember though, folks, likes do not advance visibility on this platform, only reposts and quote posts do.

17/28
‪Brett "Solidarity 2024" Banditelli‬ ‪@banditelli.org‬

Great info. thanks for meaningfully threading!

18/28
‪ldrberi.bsky.social‬ ‪@ldrberi.bsky.social‬

So what I’m hearing is that UHC will now start buying up executive protection companies.

19/28
‪Mary🌊‬ ‪@givinggarden.bsky.social‬

This country is currently going through a war between the Rich and Poor. Take a look at the Real Estate Industry. High cost of housing is due to RICH INVESTORS buying up all the property to drive prices UP. 6 Years ago, they sued the Real Estate Industry for Colluding to Price Gauge. (more)

20/28
‪Mary🌊‬ ‪@givinggarden.bsky.social‬

The claim was violation of Sherman Anti Trust Laws. The RE Industry SETTLED and said we'll change how we do things EVEN though what they were doing was to PROTECT American Buyers. As part of the Settlement, ALL BUYERS including investors must sign a Buyer Agency Agreement. 48 Hours before (more)

21/28
‪Mary🌊‬ ‪@givinggarden.bsky.social‬

before Hearing to set the NAR Agreement, the DOJ came in and tried to block it because it hurts investors to have to have a Buyer Agency Agreement. RICH INVESTORS are trying to tear down the Real Estate industry and take away ALL CONSUMER PROTECTIONS we have.

They are doing this to ALL INDUSTRYS.

22/28
‪Duggnutt‬ ‪@duggnutt.bsky.social‬

everyone needs to repost and disseminate your excellent informative thread. Thank you for all the info.

23/28
‪Lois Weiner‬ ‪@drloisweiner.bsky.social‬

Really useful #facts. Thanks for posting, educating folks.

24/28
‪Official Democrat Store‬ ‪@democratsstore.bsky.social‬

Understood, let's build off that fact for further discussion. What related topics do you want to explore?

25/28
‪Official Democrat Store‬ ‪@democratsstore.bsky.social‬

Yes, the ACA does have a medical loss ratio provision, which went into effect in 2012. What related points would you like to discuss?

26/28
‪Clarity Restoration‬ ‪@clarityrestoration.bsky.social‬

Hi Courtney,
The skeet you quoted was deleted. I know it's not fair to assign homework, but could you kinda summarize what that quoted/deleted skeet said? I'm just needing a little more context. Please & thank-you, kindly.

27/28
‪amyjpetty.bsky.social‬ ‪@amyjpetty.bsky.social‬

Happen to remember the account that posted the original skeet? It's a damn shame they felt the need to delete. I wanted to give them a follow.

28/28
‪Clarity Restoration‬ ‪@clarityrestoration.bsky.social‬

📌

To post tweets in this format, more info here: https://www.thecoli.com/threads/tips-and-tricks-for-posting-the-coli-megathread.984734/post-52211196
 

Dafunkdoc_Unlimited

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Some things are subjective but everything at its foundation is supposed to be based on codified guidelines. But, the more complex it is the more subjective it becomes. If you got someone like my wife you were probably lucky because she’d actively look for what they call “justifications” for care even if it was a gray area
Which is basically what I stated with a bit more nuance. IMO, there shouldn't be ANY amount of subjectivism if guidelines exist. If those guidelines are found to be inadequate, they should be modified.

Threatening violence on CEO's is stupid​
 

Prodyson

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Which is basically what I stated with a bit more nuance. IMO, there shouldn't be ANY amount of subjectivism if guidelines exist. If those guidelines are found to be inadequate, they should be modified.

Threatening violence on CEO's is stupid​
I just wanted to clear up that you said it is ENTIRELY subjective. It is not. The majority of things are not. It is only when things are complex that it becomes subjective.

They have literal checklists that they have to follow when reviewing every case and when they review it they have to say specifically which “justification” they are using.

A common one I overheard was blood pressure being a certain level. There is a specific justification they have select that references having a dangerously high blood pressure which makes any care received “medically necessary.”
 

num123

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Here's a cookie 🍪 to the "look at me sitting on my high horse" head ass :unimpressed:
Are you going to join him too? I keep hearing people clamoring for more violence but never talk about what they are going to do. It is like a group of people watching someone beat a person to death and saying, "i hope someone does something about this".

If you are waiting for Americans to somehow overcome their laziness, apathy, ignorance and shortsightedness to "rise up" against insurance companies, then you will be waiting forever. People are cheering and hollering about this but if you were to give them the same means, equipment and location of another CEO they will Juelz about why they can't do it.

It is not "sitting on a high horse" to point out that people have been getting fukked by insurance companies for decades and they don't even have the gumption or desire to vote for people that would fix it, or even vote at all.
 

Squirrel from Meteor Man

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Are you going to join him too? I keep hearing people clamoring for more violence but never talk about what they are going to do. It is like a group of people watching someone beat a person to death and saying, "i hope someone does something about this".

If you are waiting for Americans to somehow overcome their laziness, apathy, ignorance and shortsightedness to "rise up" against insurance companies, then you will be waiting forever. People are cheering and hollering about this but if you were to give them the same means, equipment and location of another CEO they will Juelz about why they can't do it.

It is not "sitting on a high horse" to point out that people have been getting fukked by insurance companies for decades and they don't even have the gumption or desire to vote for people that would fix it, or even vote at all.
They were too lazy to leave their house and vote for the candidate who wanted healthcare reform. This is all performative.
 

Dafunkdoc_Unlimited

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I just wanted to clear up that you said it is ENTIRELY subjective. It is not. The majority of things are not. It is only when things are complex that it becomes subjective.
That's the nuance that I was missing, but I blame Wikipedia.​
They have literal checklists that they have to follow when reviewing every case and when they review it they have to say specifically which “justification” they are using.
I figured that HAD to be the case, but are the 'justifications' standardized across the board?​
A common one I overheard was blood pressure being a certain level. There is a specific justification they have select that references having a dangerously high blood pressure which makes any care received “medically necessary.”
Experienced that one, personally.​
 

Prodyson

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That's the nuance that I was missing, but I blame Wikipedia.

I figured that HAD to be the case, but are the 'justifications' standardized across the board?

Experienced that one, personally.​
If you’re asking if they’re standard across the Health Insurance industry, I’m pretty sure it isn’t but I can’t say for sure. I’d have to ask my wife.
 

Richard Glidewell

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The shooters will just get better and better........ that's the thing they don't realize....... there are men with training and ailments that are barely holding on.........I like when they don't learn lessons
 
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