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

[chineebai]

murderous piece of shyt basically

 

[Raw Lyrics]

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

Is your wife a doctor? Not PHD either, MD.

 

[Diunx]

Hopefully that fakkit started a trend...

 

[Prodyson]

Is your wife a doctor? Not PHD either, MD.

No, she’s a registered nurse. Cases generally don’t go to doctors unless:

1. They’re complex and they need input from a Dr.

2. There is some escalation or disagreement about the status of the case

3. It’s a specific type of case that automatically goes to a Dr. for review (the types of cases seemed to change fairly frequently. Before she left they were constantly adding to the list)

 

[Raw Lyrics]

No, she’s a registered nurse. Cases generally don’t go to doctors unless:

1. They’re complex and they need input from a Dr.

2. There is some escalation or disagreement about the status of the case

3. It’s a specific type of case that automatically goes to a Dr. for review (the types of cases seemed to change fairly frequently. Before she left they were constantly adding to the list)

If a doctor says I need necessary treatment, my health insurance company, whom I pay, needs to take my doctor's word for it.

The fact that some health insurance companies have non-medical professionals decide whether the doctor is right, is a conflict of interest and ridiculous.

Now, if there's paperwork and/or necessary information missing, then that's different.

I can post a video of a surgeon who exposed what health insurance companies do to obstruct necessary treatments and it's absolutely disgusting. He details getting transferred to different departments within the health insurance company, sometimes waiting up to 90 minutes on hold - only for the call to drop.

 

[bnew]

https://archive.is/5ZG2j

 

[Prodyson]

If a doctor says I need necessary treatment, my health insurance company, whom I pay, needs to take my doctor's word for it.

The fact that some health insurance companies have non-medical professionals decide whether the doctor is right, is a conflict of interest and ridiculous.

Now, if there's paperwork and/or necessary information missing, then that's different.

I can post a video of a surgeon who exposed what health insurance companies do to obstruct necessary treatments and it's absolutely disgusting. He details getting transferred to different departments within the health insurance company, sometimes waiting up to 90 minutes on hold - only for the call to drop.

I get your point, but that’s how ALL insurance works. A professional says something needs to be done, a case is sent to the insurance company, they review the details and either approve or deny the claim. Otherwise doctors could request whatever they want just to run up the bill and force the insurance company to cover it. We already know that happens and that’s why this flawed system exists in the first place.

And I can assure you that while some people are intentionally trying to deny medically necessary treatments, a lot of it is due simply to inept employees who are terrible at their jobs and don’t want to do the work. These utilization review nurses are told they have to touch a certain amount of cases per day. Just like any other job that has a quota, what do you think happens when 3 o’clock hits, they have 10 more cases to touch and a case comes that’s going to take an hour or more to work, and you can tell because its been volleyballed 4 or 5 times already.

The same thing that surgeon is going through is probably what the utilization review nurse in going through, just to try to close out a case. God forbid the team just sucks or has poor leadership. Then the turnover is high and the quota gets higher. I’ve seen all of this happen in real time.

As greedy as these executives are, terrible employees make it even worse, just like any other company.

 

[Wargames]

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

I saw a quote on Reddit that supports this.

Right now is America Gildred age 2.0, during the gilded ages assassinations were damn near as common as mass shooting was a few years ago. It was one of the reasons politicians, judges, and business owners agreed to create the safety net to avoid being shot

 

[bnew]

 

[Richard Glidewell]

I saw a quote on Reddit that supports this.

Right now is America Gildred age 2.0, during the gilded ages assassinations were damn near as common as mass shooting was a few years ago. It was one of the reasons politicians, judges, and business owners agreed to create the safety net to avoid being shot

As dumb as people are, eventually their ire will begin to be directed where it truly belongs like in this current Luigi as Hitman 47 scenario........ when those record profits start coming with not hold liable clauses that high dollar life won't mean much when there is constant fear of being out in public

 

[Dafunkdoc_Unlimited]

Can anyone name ONE instance where murdering a CEO benefitted the consumer?

​

 

[Richard Glidewell]

 

[Wargames]

Can anyone name ONE instance where murdering a CEO benefitted the consumer?

​

It’s not a direct causation but the them getting killed does serve a cause.

 

[Dafunkdoc_Unlimited]

It’s not a direct causation but the them getting killed does serve a cause.

That didn't answer my question and the 'cause' it serves is self-defeating. You want people to care more, but a callous disregard for human life being met with a callous disregard for human life only engenders.......a greater callous disregard for life.​

 

[bnew]

Can anyone name ONE instance where murdering a CEO benefitted the consumer?

​

Spoiler: full text & large images

1/2
@NTVNEWS
Anthem Blue Cross Blue Shield has reversed course on a controversial policy that would have placed a time limit for anesthesia, the decision to reverse the policy comes a day after the murder of UnitedHealthcare CEO Brian Thompson BCBS reverses course on anesthesia time limits



2/2
@bellevue1970
While I don't support senseless murder, I believe in the fight between Good and Evil, and that there is indeed Karma.




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

Spoiler: thread continued

Spoiler: full text & large images

1/10
@MilOnYourMind
What do you suppose made them reverse course with this outrageous policy?
/search?q=#AnthemBlueCross /search?q=#HealthInsurance /search?q=#Anesthesia /search?q=#AmericasHealth /search?q=#Insurance

Anthem Blue Cross says it's reversing a policy to limit anesthesia coverage

2/10
@leglobo_laura
I know lots of people on Medicare were looking at other companies for secondary insurance.



3/10
@MilOnYourMind
True. But there are a lot of people on Medicare who simply cannot afford to pay for a secondary insurance. So I guess poor people are doomed to long term suffering and early death.



4/10
@JosephLofrumen2
CEO shat his pants



5/10
@MilOnYourMind
Her pants. It’s a woman.



6/10
@world_nats
Shoot how would I know what possibly would kill such an idea



7/10
@MilOnYourMind
I saw what you did there



8/10
@EstelCooper
I fired them...



9/10
@improvguy11




10/10
@Jayne_Martin
Nothing quite like a bullet with an actual message on it to get some attention.




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

the day of or after the guy was shot, i saw a post on reddit that said some pharmacist didn't have any denied claims for that entire day winch is apparently unprecedented.