Comments there and everywhere online are beyond brutal. Here’s a wake up call to CEOs everywhere. Maybe think about living your life in a way that if you’re murdered, the whole country isn’t celebrating?
Vigilante justice is just a form the black market. It is the free market supplying justice demands that misregulation prevents the open market from meeting. (tic)
Health Insurance profits are the closest thing we have to legalized blood money, and no one gives a shit if a hitman or mercenary gets killed. We’re just finally getting around to pulling the mask off.Quote:
Originally Posted by tang;[emoji[emoji6[emoji640
You gonna come up with that 500k for,your by pass by yourself.
Fact is, not even medicare for all addresses the joke that is provider costs. That’s why your insurance is so high, not the less than 10% the ins co investors keep.
CEO's are just going to ramp up their personal security, they aren't going to have much of a wake up call. They've justified their choices to themselves years ago.
It’s not about high costs. At a certain point, the profits are blood money.Quote:
Originally Posted by Cono Este;[emoji[emoji6[emoji640
[ATTACH][emoji6[emoji640][emoji637]][emoji[emoji6[emoji640][emoji638]][emoji640][emoji6[emoji640][emoji638]]][emoji6[emoji640][emoji638]][emoji6[emoji640][emoji637]][emoji[emoji6[emoji640][emoji638]][emoji640][emoji640]][emoji6[emoji640][emoji637]][/ATTACH]
Oh, and he was facing insider trading charges from the DOJ, because it appears he’s an unscrupulous piece of shit across all aspects of his life and career.
That's a load of shit and you know it. You are ignorning the insane amount of admin/paper shuffler/claims handling bullshit jobs/software/consultants/leaders/losses on the healthcare delivery side that go into dealing with all the fuck-fuck games that insurance companies play with pre-auth/claim denials/delays/etc/etc/etc especially from a company like United that auto-denies nearly half of all claims.
You also ignore follow on effects. If United pays so little for mental healthcare that there are basically no providers willing to sign up with them, and there is a long waitlist, and a sick person has repeat PC visits waiting and PC is trying med manage someone outside of their expertise who also needs psychotherapy, well UHC doesn't care because UHC doesn't pay much because it is in deductable/denial and they are only motivated to minimize costs. When that patient finally gets in with a MH provider, then United denies the service, care is more delayed, then pt attemps suicide and ends up in my ER after an Ambulance ride United didn't pay on and and we sit on their hold for 2 days before we can move them to a MH inpatient which are shorthanded due to low reimbursement and high refusals. Then when the patient is in the MH hospital, United case management demands they be discharged ASAP before they are stable because they only care about immediate threat to life "is the patient going to kill themselves as soon as you discharge? Then why are treating them? They can see outpatient next month!"
Then you repeat that cycle until the patient completes suicide, guess what?
Practically:
Massive unnecessary visits and costs generated in the system for the worst outcomes while the insurance company ends up on top
Fiscally:
Providers are underpaid and or not-paid due to denials
The hospital is not reimbursed because United refused to pay
United minimized their costs and maximize their profits
What payments are finally received don't cover the cost of care and the cost of extracting the payment from United
Bottomline:
Patient suffered needlessly and died wrongfully because insurance is allowed to work that way
That is just one example of why nobody is crying for this CEO.
Please don't quote Cono.
Insurance company motivations:
How often can I refuse to pay?
If I must pay, how little can I pay?
How long can delay paying?
NOT insurance company motivations:
Customer's health in any way that doesn't affect their short term bottom line
Costs and burdens imposed on the healthcare system
Costs and burdens imposed on patients
Hospitals and providers are evaluated and paid based on patient outcomes.
Why not insurance companies? Of cours they'd just obfuscate and cook the data...
(Note that the statement in the first post here is incorrect)
Attachment 506601
Attachment 506602
https://x.com/mattbruenig/status/186...sR_NcRK2VkCfkg
The excess costs in US healthcare are really everywhere TBH. Private insurance greed and inefficiencies, hospital chain monopsony, doctors being paid more than other countries (partly due to lobbying efforts),
This goes back decades, but a friends father was a doc. The dad can't deal with the amount of bs dealing with insurance companies, so the son decides to start a small business helping doctors navigate the insurance bs. Little company became successful, but adds another cost layer into our healthcare because of these insurance companies making it difficult on the doctors.
Also...this threadhttps://uploads.tapatalk-cdn.com/202...1ee50aedef.jpg
Don't leave out Big Pharma.
Have you seen what they are raking in for the new biologics for the autoimmune diseases? Truly obscene. The "cure" for an autoimmune condition can cost $90K for the initial treatment and then $40K per year in maintenance doses.
Not too many people would shed tears for a Big Pharma executive. Drug costs are a huge multiplier when comparing US vs other countries.
Oh hell yeah. The MS drug I was on cost 20k for 3 months supply. On Cuban's Cost Plus drug company...2k!
meanwhile up narth I would ask bro if he wants to go skiing ? Buddy sez no I gotta do an office day, which means he is probably short of cash so he has to submit a bunch of work he did to the HC plan
Remember when we were all laughing and Pharma-bro Shkreli and his punchable face getting their comeuppance with prison and fines?
Simpler times
So what's the collectives thoughts on this guy? Younger dude, so did he lose a child, wife, or parent? Or did he just snap and was fed up with everything chosing this evil to attack?
The CEO of the hospital system Mrs. Snowaddict works at fired her boss with no notice yesterday. 3 weeks before Christmas. He has worked there for 20 years. Word is they are going to outsource the whole department to a contracting company.
He must not read the news.
So what do they call the suspect guy that got away so far?
The hooded robin hood of health care
Smiles a lot/shoots from behind killer - this is my favorite I came up with.
?The lone health care ranger
HPEB Killer - Hoods, Pistol and Ebike.
Delay, deny, defend and don't forget to smile killer.
The he's gonna get caught in about a week killer but its gonna be a mistrial.
The did you really pay $300 for that backpack killer?
This is how much he spent on the gun. Which had to have taken some time to get given the paperwork.
Attachment 506604
I'm currently helping a physician appeal a denied insurance claim. Actual condensed version of the conversation with a VP of an insurance company.
"Hey, have a claim I need to chat about but before I do, let me ask you what you would do if you were experiencing chest pain".
"Well, I would go to the emergency room."
"Me too. And the emergency room doc you would probably see is the patient in question."
"Oh, I didn't know that. The denial shows that she doesn't meet the criteria for the chest scan she had based on her medical history and age."
"Does the criteria show that her younger brother had his ribs cracked to perform open heart surgery last year."
"The medical notes don't show that here."
"Yes they do because because she gave them to me and I'm reading them. She is an ER physician who called the cardiologist to run the scan like she would for you if you showed up in her ER presenting the symptoms she was."
"Oh, well, um..."
"How about I have her submit a bill for herself being admitted in the ER and you can pay for that before you cover the scan that you are currently denying."
"Let me take another look and see if we can get this covered."
"Cool, thanks. Have you been following the news this week?"
"Yeah, pretty sad deal."
No sense of irony detected. Our system is fuct.
The gofundme for legal fees should set him up with a nice team.
Yeah - imagine you have some terminal disease. Not long to live. And then some cute girl working at the hostel starts flirting with you. Fuck it - drop the mask and give her a smile.
This guy planned pretty well. I think he knew what he was risking when he pulled down his mask. No use going to the grave with regrets.
Ah, OK. I knew legal fees were a go but the devil is in the details.
This is a pretty great discussion about how and why the US spends so much on healthcare: https://peterattiamd.com/saumsutaria/
Unbelievably timely, released just days before this shooting. Some highlights:
-Americans are generally unwilling to compromise on quality and access/choice, but quality, access/choice, and low costs are effectively the "Good/fast/cheap, pick two" problem. We constrain demand demand via cost, while other countries' systems (who also maintain very high quality) constrain demand and costs via supply-side intervention (e.g., long wait times for non-emergency MRIs and other elective procedures in Canada).
-We can blame the employer-based coverage system for much of this, but it's so entrenched that we're unlikely to ever be rid of it.
-We subsidize drug costs for the rest of the world, though this is at least partially responsible for the fact that most drug innovation happens in America.
-A lot of ridiculous "costs" like $20 aspirins are complete fictions made up so that insurers can claim they are creating value.
-Many things, particularly PBMs, started out as reasonable ideas that have become parodies of themselves thanks to various perverse incentives and fuckery.
And for suppressed semi-auto, you can change the springs out to accommodate to different recoil for cycle.
No concern. I know them. It was more of a comment on public perception which is a key item they are working on. The comment was more of a notice to them that the people who give the care and who the insurance company has an entire team devoted to provider relations can't even get a common sense claim paid without prior auth so how do you think the general public views them.
Why pay the big money to HC CEO's ... think of the money to be saved by just offing them ?
Google says UHC has 30 M customers, so everyone would get their premiums cut by 33 cents/year. The salaries are a drop in the bucket, it's the denials and as elegantly described above, the "fuck fuck game" around claims processing and denials that cause pain/run up costs.