@dougiec3
This is about doctors working for insurance companies. It may well be an indictment of that working relationship, but there are a lot of moving parts to the U.S. health care system and I believe your blanket statement gives short shrift to a lot of deeply committed persons who work their asses off every day to provide medical care to individuals and communities.
Let’s agree to demonize the real enemy here, those whose work removes money from providing care to others.
@CivilityFan
Good doctors have little say in this other than to practice privately and not put up with jumping through hoops for the insurance industry.
@dougiec3
These doctors are not practicing medicine, they are getting paid to review claims. What a waste of an education. Take the profit out of delivering healthcare and these positions evaporate, the money insurance companies siphon away from delivering medical care can be used for preventative strategies and societal costs go down, health outcomes improve and everyone wins except Wall Street
If doctors just deny claims without actually thoroughly reviewing them, that is fraud and malpractice. The policy holders paid for fair treatment of their claims, and for-profit ins companies telling the reviewers to just "deny, deny, deny" to make a "quota" is absolutely fraud and is practicing medicine without a license. Both parties are committing crimes. There is no one blameless here.
@shekinahcancook@CivilityFan
Doctors don't make the call to deny coverage for medical treatment. That's the work of clerks in an insurance corporation.
Doctors are the "clerks" you refer to. They are supposed to review each case, but they don't. They just automatically "deny" pretty much everything to meet a "quota" of cases handled per day. That's what this article is about.
Yes, indeed. In fact, if your doctor agrees your denial was bull malarkey, you are entitled to receive the name of the reviewer, and you and your doctor can file a complaint with the state medical licensing board.
PS - I would love to see way more of this. Malpractice should not go unpunished.
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