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Cigna saves millions by having its doctors reject claims without reading them

propublica.org

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Re: Cigna saves millions by having its doctors reject claims without reading them

#411

Post by hestefisk »

firstlink wrote: post #49
hestefisk wrote: post #28

Earlier quoted context omitted.

You can have good public healthcare without the need of the notion of 'claims'. The Scandinavian healthcare system is a good example ( https://en.wikipedia.org/wiki/Healthcare_in_Denmark ).

> The central government plays a relatively limited role in health care in Denmark. So the exact opposite of what people usually mean when they say they want public healthcare. Words mean something.

I am of Danish origin and stating that the central government has a limited role in healthcare is just downright incorrect. The Ministry of Health (Sundhedsstyrelsen) sets the budget, determines national practices, manages the public health insurance scheme, and manages the list of approved medicines. Yes, execution of healthcare is with the regions, but there has been a significant increase in centralisation of healthcare since the “amter” were disbanded.

Re: Cigna saves millions by having its doctors reject claims without reading them

#412

Post by oogali »

kevviiinn wrote: post #384
nobodyandproud wrote: post #205

Earlier quoted context omitted.

Call 911 and get an ambulance.

That's a good way to spend $6000

It's about $500-1,000.

Coming in via an ambulance doesn't trigger some sort of re-prioritzation, if you're not suffering from something that is immediately life threatening.

In most NYC hospitals, you will end up in a secondary waiting area that lies just beyond the regular ER doors.

Good luck if it's a Saturday night.

Re: Cigna saves millions by having its doctors reject claims without reading them

#413

Post by firstlink »

glenstein wrote: post #395
thallium205 wrote: post #204

Earlier quoted context omitted.

Who do you think run all state level Medicaid programs? Government employee health plans? Private conglomerates. That’s one of many many examples.

The person I was responding to was suggesting it was a connection to public programs that made private health programs so stingy in denying claims, and I don't see how your answer gets me any closer to understanding what that means. I'm also not sure what you mean when there's plenty of other examples. Examples of what? I'm still trying to figure out what the "what" is. Private health insurance companies in America r…

> The person I was responding to was suggesting it was a connection to public programs that made private health programs so stingy in denying claims

I suggested no such thing. Please don't ascribe your own ridiculous ideas to other people.

Re: Cigna saves millions by having its doctors reject claims without reading them

#414

Post by firstlink »

specialist wrote: post #80
firstlink wrote: post #39

Earlier quoted context omitted.

All claims being reviewed by big health insurance conglomerates is the antithesis of privatized healthcare. It incorporates the worst part of public healthcare and destroys the best potential benefit of privatized healthcare.

What are some real world examples of beneficial privatized healthcare?

Concierge doctors.

To be clear, we are talking about benefit to the patient; there's lots of reasons concierge doctors may not be the best benefit for society at large. But that's immaterial because this is just one example; if we hadn't gone for the worst possible way to scale private medicine, then there could be better examples.

But the point is that you can't seriously look at concierge doctors and say that public healthcare would be better for those patients! And therefore this refutes any claim that public healthcare is the best system overall.

Re: Cigna saves millions by having its doctors reject claims without reading them

#415

Post by refurb »

colinmorelli wrote: post #379
refurb wrote: post #334

Earlier quoted context omitted.

Infant mortality rates aren't calculated the same in every country. I have no idea if Sweden does it differently than the US, but Cuba's low infant mortality compared to other Central American countries disappears when you calculate them all the same way. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6681443/

Sure, measurement discrepancies do exist. However, the referenced study is focused almost entirely on Cuba. As a comparison point they use data from PERISTAT which is consistent among countries (or at least that's a goal of the program) for which Sweden is a member. The point is that, however, you can pick almost any objective health measure and see a similar result. So either all of the measurements are wrong in fav…

Where can i find Peristat data for the US?

Re: Cigna saves millions by having its doctors reject claims without reading them

#416

Post by AnIdiotOnTheNet »

wolverine876 wrote: post #403
AnIdiotOnTheNet wrote: post #288

Earlier quoted context omitted.

I mean, I don't want to say "start shooting them until they get the message that we won't put up with their bullshit", but I honestly can't think of a better plan given that people will find all sorts of excuses to keep voting for the kinds of assholes who prefer it this way. I'd really like to hear one, cause the violence option isn't really very appealing.

Who are you to impose your opinion on the rest of us? Who are you to shoot me or my neighbor?

We're talking about people who sell insurance and then do their damnedest never to pay out.

You don't want to get shot? Don't try to cheat people out of their money, especially when it is about their healthcare. It isn't complicated.

Re: Cigna saves millions by having its doctors reject claims without reading them

#417

Post by bee_rider »

wolverine876 wrote: post #409
bee_rider wrote: post #405

Earlier quoted context omitted.

I’m a U.S. voter, so yes I’m part of this collective failure to vote well/convince my countrymen to vote well. I’m not sure why you think I’m blaming somebody else?

You talk about a 'system'. The system is in the mirrors, yours and mine. We are it. American tradition is that one person makes a difference, which seems pushed aside now by the fetishization of despair and doom. Also, it's about far more than voting. Voting is done every once in awhile. Citizenship is every day. Powers-that-be are watching and investing enormous energy in manipulating public opinion - for a reason.…

I’m not sure that our comments are really all that connected, I used “single payer healthcare system,” as in the term-of-art for a way of distributing funds for healthcare. You seem to have gotten latched onto the word “system” and seem to be using it in a sort of broad “fight the system” way.

There definitely aren’t any healthcare systems inside of my mirror, not even the bathroom one with a cabinet behind it.

Re: Cigna saves millions by having its doctors reject claims without reading them

#418

Post by LocalH »

explaininjs wrote: post #393
davidw wrote: post #321

Earlier quoted context omitted.

> If voting could change anything it’d be illegal. The absolute best way to ensure that nothing changes is to get cynical and try and demotivate anyone else from trying.

The only path to substantial change is and has always been violent revolution. I welcome anyone to try that.

I doubt that will ever happen when the Western world is so conditioned to view overthrowing the government as treason

Re: Cigna saves millions by having its doctors reject claims without reading them

#419

Post by explaininjs »

LocalH wrote: post #418
explaininjs wrote: post #393

Earlier quoted context omitted.

The only path to substantial change is and has always been violent revolution. I welcome anyone to try that.

I doubt that will ever happen when the Western world is so conditioned to view overthrowing the government as treason

Is there a part of the world that doesn’t view overthrowing the government as treason?
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